Evaluation Management/ED Coding Specialist Job in Lowell, Massachusetts Us

  • A. Accurately codes all hospital emergency department visits using ICD-9CM and CPT coding methodologies.
    B. Applies appropriate visit level to each case, according to hospital guidelines.
    C. Accurately abstracts data elements required by the Division of Health Care Finance and Policy.

    D. Maintains an acceptable accuracy and productivity rate for all coded and abstracted data based on internal and external quality improvement audits.

    E. Continually updates knowledge of all coding and reimbursement guidelines and regulations, including, but not limited to, Official ICD-9-CM Guidelines for Coding and Reporting, AHA Coding Clinics and CPT Assistant and insurance specific requirements.

    F. Responds promptly and efficiently to coding problems and problem accounts and notifies supervisors as needed.

    G. Coordinates with Net Revenue Analyst to resolve any charging discrepancies. Follows up as needed to ensure complete and correct information.

    H. Participates in coding audits and external or internal coding reviews. Utilizes findings to improve and update coding skills.

    I. Performs administrated duties as instructed and any other related duties as assigned.