University of Vermont Medical Center
Burlington, VT
This is a fully remote position. JOB DESCRIPTION: Applies knowledge of anatomy and physiology, medical terminology and pathology of disease processes while analyzing clinical documentation for inpatient and outpatient records for facility and/or professional services coding. May be assigned to work edit lists for accuracy of claims processing and data reporting. Applies knowledge of ICD-10 and CPT-4 nomenclatures and American Hospital Association, American Medical Association and applicable Federal and third party payer guidelines to accurately and compliantly determine principal and secondary ICD-10 diagnoses codes, principal and secondary ICD-10 procedure codes for all visits. In addition, assigns corresponding CPT-4 codes for all inpatient surgery cases or outpatient CPT defined procedural services for facility and professional billing and assignment of appropriate modifiers. Appropriately assigns ICD- 10 codes for professional services per medical necessity criteria....