Verifies that all physician orders received are appropriate and complete, ensuring age and gender edits are satisfied on all codes received from physician office. Ensures all edit issues and charge code discrepancies are resolved before billing.
Assigns ICD9 diagnosis and procedure codes, CPT codes and modifiers as necessary to ensure accurate and complete coding as well as resolve any edits on account.
Consults Local Medical Review policies and/or National Coverage policies to determine if diagnosis provided necessitates test orders, consulting physician when necessary.
Interacts with registration staff and point of service departments to determine if Advanced Beneficiary Notice is required for the test being performed.
Interacts with physician offices to procure prescriptions and diagnostic information including medical necessity.
What Will You Need:
EDUCATION AND EXPERIENCE REQUIRED:
Successful completion of a coding education program
EDUCATION AND EXPERIENCE PREFERRED:
Outpatient coding experience
The Ancillary Coder is responsible for reviewing, analyzing and interpreting clinical documentation contained in the medical record applying appropriate ICD9 and CPT codes conventions and requirements of Medicare Prospective Payment System. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.