Planned Parenthood South Atlantic
New York, NY
POSITION SUMMARY
Supports the VP of Revenue Cycle and Revenue Optimization in auditing provider clinical documentation and EM coding. Develops and presents coding and clinical documentation platform for education and training of providers. Performs Charge Audits through review of chart notes and identification of correct procedure and diagnosis codes.
ESSENTIAL JOB DUTIES AND RESPONSIBILITIES
Coding Compliance (30%)
Performs charge audit/coding review to determine appropriate ICD-10 and CPT codes to be used to report provider services to third party payers.
Review and identify accurate utilization of modifiers to ensure billing compliance and optimal reimbursement.
Identifies clinical documentation integrity opportunities to ensure coding compliance.
Drive the document strategies and messages in a collaborative way with relevant stakeholders.
Provide education and training to appropriate providers and stakeholders.
Performs other training and mentoring related...