Posting Note: This position will involve assignment of the injection and infusion codes to both inpatient and outpatient encounters.
This position assigns, per coding guidelines, the current version of ICD diagnosis and procedure codes and CPT-4 procedure codes for Observation, Same Day Surgery, Emergency Department, Urgent Care and/or Ancillary medical records. Completes coding for all accounts on a timely basis within the four day bill hold time frame. Follows up on all accounts needing coding queries or documentation completion by clinicians or medical staff. Demonstrates coding competencies with quality of coding and daily output of volume consistent with department productivity standards.
This position researches and codes all office, surgical and procedural-based reports/records by assigning accurate CPT codes, current version of ICD (diagnosis codes), HCPCS and modifiers in accordance with CMS coding guidelines and principles in a compliant manner.
Under direct supervision of the Manager of Professional Services, performs audits of medical records for compliance with federal coding regulation and guidelines. Uses knowledge of PCH policies and procedures to provide a second level review of all Codes (CPT, EM, ICD-10 etc.) to achieve and maintain compatibility with Government and PCH billing requirements and compliance standards. This position collaborates with Coding Educator to provide training and education to Coding and Medical Staff. This position also assists with coding production, as needed; reviews and resolves coding issues related to billing; researches complex coding issues and participates in process improvements related to coding and EM management.
This mid-level position reports to the Release of Information Supervisor, and is responsible for processing all Release of Information (ROI) requests, in compliance with organization policies, HIPAA and State regulations to ensure the highest quality of patient care is provided while maintaining the confidentiality of our patients protected health information. In addition to these responsibilities, the ROI Specialist responds to any inquiries coming from phone calls, inbox, or FMH Patient Portal dashboard queue. Ensures that only authorized individuals have access to the patient's health information and that all releases of information are in compliance with the request.
This is an entry level position is responsible for processing all release of information (ROI) requests, in compliance with organizational policies, HIPAA and State regulations, to ensure the highest quality patient care is provided while maintaining confidentiality of our patient's protected health information. At all times, ensures that only authorized individuals have access to the patient's health information.