Assigns ICD 9 and CPT codes for inpatient and/or outpatient episodes of care as well as performs medical record audits as required. This position is essential to the success of the facility. Encompasses all aspects of medical coding for hospital services including office, outpatient hospital and inpatient services. Understands ICD 10, CPT, HCPCS codes and the rules and re

Responsible for supporting the Utilization Management team by assisting with obtaining documentation/signatures needed for insurance purposes and the ability to explain the documents to patients in our care. Monitors and records utilization activities of patients under the direction of Utilization Management. Ensures documentation is provided of insurance company requests

Possesses the knowledge and skills to thoroughly review the clinical content of all levels of complexity of Inpatient medical records and assigns appropriate ICD 10 Codes to diagnoses procedures for optimal reimbursement, as well as the knowledge to ensure the coding accurately reflect the severity of illness and risk of mortality for quality reporting. Has knowledge of a

The BPN Coding Specialist is responsible for assigning diagnostic, procedural, and complication codes to all inpatient, ambulatory surgery, emergency room and outpatient patient records. Ensures that all coded records meet the Federal, State and Payer coding requirements. Job Tasks and Responsibilities ( denotes essential job functions) 1. Commits to the mission, vision a