Bryan Heart Coding Specialist

Bryan Heart Coding Specialist

GENERAL SUMMARY :

Responsible for accurate and compliant assignment of CPT and ICD 10 codes supported by provider documentation in the medical record utilizing the current year International Classification of Diseases Manual (ICD-10) and the current year American Medical Association’s Current Procedural Terminology manual (CPT) ensuring optimal reimbursement.

PRINCIPAL JOB FUNCTIONS :

1.

• Commits to the mission, vision, beliefs and consistently demonstrates our core values.

2. Adheres to all relevant Bryan Health / Bryan Heart policies and procedures.

3.

4. Maintains coding certification by performing continuing educational requirements as defined by certifying body / organization.

5.

6. Achieves and consistently maintains departmental productivity / performance goals and metrics.

7. Complies with Bryan Heart Coder Audit / Competency Program.

8.

9. Assists with monitoring payer denial trends and development of denials management process.

10. Regularly advises direct report supervisor / director of concerns including but not limited to provider documentation content and timeliness to complete, payer performance, system functionality and any other identifiable barriers to performance thus negatively influencing the organizational goals and metrics.

11.

12. Actively participates in meetings to build a cohesive team by responding to inquiries, making recommendations, sharing observations and respecting team members input.

13. Assists as requested with auditing activities.

14. Reviews and reports new, deleted, or inactivated procedure codes to appropriate team members.

15. Participates and completes mandatory annual training as assigned by Bryan Heart / Bryan Health.

16. Develops and fosters relationships with providers and clinical support staff.

17. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.

18. Participates in meetings, committees and department projects as assigned.

19. Performs other related projects and duties as assigned.

(Essential Job functions are marked with an asterisk “

EDUCATION AND EXPERIENCE :

High school diploma or equivalency required. Certification as a Certified Coding Associate (CCA) required. Certification as a Certified Coding Specialist (CCS or CCS-P) or Certified Professional Coder (CPC) preferred. Minimum of five (5) years coding experience in a medical environment required. Cardiology / Cardiothoracic / Vascular coding experience preferred.

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