UofL Physicians

Charge Entry /Coding Integrity Specialist, University of Louisville Hospital, Days, Full Time

US-KY-Louisville
Job ID
2017-4792
# of Openings
1
Category
Billling/Collections
Department
6900- ADMINISTRATION

Overview

The Charge Entry or Coding Integrity Specialist reviews and evaluates hospital outpatient medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM and HCPCS/CPT codes for ED level and/or Observation infusion and injection charges. The specialist performs code validation across multiple entities and applies the appropriate coding guidelines and criteria for code selections. The specialist adheres to Facility Coding Compliance policies and procedures for the assignment of complete, accurate, timely, and consistent codes for charge entry.The position supports the facility’s overall Operations by efficiently and effectively providing account data needed for the Revenue Cycle process and billing.

 

Responsibilities

Using ICD-10-CM and/or HCPCS/CPT to assign, validate, and/or edit codes for the following patient types:

  • Emergency room (ED)
  • Assigns, validates, and/or edits the ED E/M levels, and enters and/or validates charges for ED, OB ED and/or observation (OBV) infusions and/or injections 
  • Assigns, validates, and/or edits procedure categories and modifiers 
  • Maintains or exceeds established productivity standards 
  • Maintains or exceeds established accuracy standards 
  • Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current 
  • Meets all educational requirements as stated in Hospital policies 
  • Utilizes the complete medical record documentation in code assignment, validation, and/or editing of codes 
  • Other duties as assigned 

Qualifications

Coding Technical skills- ICD-10-CM, HCPCS/CPT-4, and APCs. 
• Where applicable, demonstrates proficiency in E/M level assignment, and the application of injection and infusion hierarchy. 

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