Essential functions
Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.
· Accurate coding of patient encounters.
· Analyze patient medical records, encounters and other documents to assign correct diagnosis (ICD-10), procedure (CPT), and supply (HCPCS) codes as necessary with a high level of accuracy.
· Collaborate with RCM Billing Specialists to ensure that claims are managed from charge entry to claims submission with and end goal of minimizing denials and delays.
· Talk with patients about their Slocum clinic or ASC medical bill, via phone, in person or patient portal.
· Analyze denied claims resulting from coding errors by identifying the root cause and provide the corrected codes to the billing team for the purpose of appealing or resubmitting a corrected claim.
· Ensure all coding conforms to CMS, AAPC, state, federal, and payer-specific guidelines.
· Query physicians and all providers to clarify missing or ambiguous documentation to support coding accuracy.
· Work with the RCM Coding Supervisor to evaluate charge capture processes and identify trends in denials or revenue leakage.
· Communicate cross-functionally with providers and other Slocum departments regarding patient questions or coding concerns.
· Perform other duties as assigned.