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