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Pro Fee Coder-Hospitalist

Job Overview

Pro Fee Coder-Hospitalist

Overview

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Pro Fee ED Coders-Hospitalists

This is a clinical coding position for an experienced coding analyst.  Coding analyst analyze clinical documentation assign appropriate diagnosis, procedure, and, in some cases, level of service codes and abstracts the codes and other clinical data.  This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and injuries, compare healthcare data between facilities and between physicians, and meet regulatory and payer reporting requirements. Coding specialists also resolve clinical documentation and charge capture discrepancies, and provide feedback to providers on the quality of their documentation and charging.

Skills:

Code and abstract clinical and demographic data for inpatient, outpatient, or clinic encounters using standardized coding regulations, abstracting rules, and Fairview guidelines.• Knowledge of ICD9 and CPT and related coding/abstracting  rules and guidelines• Knowledge of medical terminology• Knowledge of anatomy, physiology, and pathophysiology,• Knowledge of relationship of disease management, medications and ancillary test results on diagnoses assigned• Proficiency with computer systems, including electronic health record Identify and resolve clinical documentation and charge capture data discrepancies to improve quality of the clinical documentation, severity and reimbursement levels assigned, integrity of data reported.  • Knowledge of ICD9 and CPT and related coding/abstracting rules and regulations• Knowledge of medical terminology• Knowledge of anatomy, physiology, and pathophysiology,• Knowledge of relationship of disease management, medications and ancillary test results on diagnoses assigned• Proficiency with computer systems, including electronic health record• Critical thinking and problem solving skills• Effective written and verbal communication skills Educate multidisciplinary team members, including physicians, about frequently changing mandated rules, regulations and guidelines to ensure a complaint claim. Meet departmental quality and productivity standards Demonstrates ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population served.

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