Clinical Reimbursement Specialist - Cath Lab Coder

Bluebird Staffing
PA, United States
Full-time

REQUIRED

  • 5 years coding : Cath lab Charging / Coding for diagnostic and invasive procedures
  • Credential - CIRCC, RHIA / RHIT
  • Utilize EPIC and WITT

JOB DESCRIPTION

  • Evaluates Cath lab notes and identifies the appropriate procedures charges / CPT codes / modifiers
  • Identifies when documentation relevant to coding the procedure is missing, lacks specificity, or is inconsistent and communicates with physicians via EPIC in basket messaging to obtain the missing information
  • Applies regulatory requirements such as medical necessity policies as CPT codes are being selected
  • Demonstrates an expert knowledge of hospital outpatient coding guidelines, medical terminology, anatomy / physiology, and payer specific coding guidelines.

Understands reimbursement methodology and public reporting of outcomes.

29 days ago
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