Fee Abstractor II

Responsibilities:

• Assign appropriate ICD-10-CM diagnosis codes in accordance with coding guidelines.
• Assign appropriate CPT-4 codes for evaluation and management services and specified inpatient procedures.
• Assign ICD-10-CM and CPT-4 codes to operative notes. Review the entire operative note, capture all codes, eliminate codes based on the Correct Coding Initiative (CCI) edits, attach modifier (to ensure accurate payment), and contact physician when necessary for clarification.
• Neatly and correctly complete an encounter form for each physician's services being abstracted. Follow all department policies for the correct completion and processing of these forms.
• Identify coding variances when the physician precodes his/her services.
• Identify unbillable events due to insufficient documentation by the rendering or requesting physician.
• Neatly and accurately complete the appropriate memorandum and attach the supporting documentation to process all unbillable events.
• Neatly and accurately complete a daily production log.
• Meet production goals set by the Director and Associate Director.

Credentials:

• Certified Professional Coder - CPC (AAPC) or Certified Coding Specialist - Physician Based - CCS-P (AHIMA) required.

Education or Equivalent Experience:

• H.S. Diploma/GED and 2+ years  work experience in professional coding, preferably in an academic medical center required.
  
• Or Bachelor's Degree in a Health Information Management, Nursing, or a related field and 0-1 years  work experience in professional coding, preferably in an academic medical center.
• Knowledge of medical terminology, human anatomy and physiology required.

Skills and Abilities:

• EMR: Understanding of electronic medical records functionality.
• COMMUNICATION: Demonstrated interpersonal/verbal communication skills.
• Knowledge of ICD-10-CM and CPT-4 codes - proficiency with evaluation, management, and procedures coding experience. 
• Knowledge of federal, state, and third party payer inpatient documentation requirements. 
• Ability to perform work independently and make judgments without close oversight.