What are the responsibilities and job description for the Hospital Coding Specialist - 1 FTE (Remote) position at St Peters Hospital?
JOB SUMMARY: Assigns codes to in-patient and out-patient visits, based on departmental direction, using ICD-9-CM, ICD-10CM/PCS and CPT nomenclature in an accurate and timely manner, ensuring compliance with all applicable coding guidelines and reimbursement reporting requirements. Reviews DRG and APC methodologies for accurate assignments. Reviews charge codes/CPTs/edits during coding process and verifies accuracy. Utilizes 3M coding software. Abstracts codes into HIS system for data retrieval and timely billing. In addition, abstracts pertinent study information for the peer review program and clinical studies as requested. Queries physicians for documentation clarification. Monitors un-coded accounts for resolution. Participates in coding validation audits, as assigned. Works with departments and business office to resolve claim issues and denials. Maintains quality and productions standards. Provides education to other departments, as necessary. Has ability to map ICD-9 codes to ICD-10 codes, as requested. Work with CDI specialist and CDI program. Other duties as assigned.
