The Coder Abstractor is responsible for charge capture process for professional charges within the Munson system, including but not limited to: verifying and/or analyzing medical record and/or encounter form documentation to determine the principle and all secondary diagnoses and procedures; assigning diagnostic codes, procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS) and Munson; performing data entry; and, performing discrepancy resolution.
Serves as a liaison between CBO and sites/departments. Assists in the orientation and training of new employees within the coding and charge capture area.
Responsible for reviewing office based electronic charges and encounter forms for completion and accuracy, including accuracy of ICD9/10CM, CPT and HCPCS modifier assignment. Codes and enters charges at a 95% accuracy rate.
Reviews and interprets physician documentation of surgical procedures to accurately assign and enter billing codes. Identifies all applicable diagnosis procedures and codes. Codes and enters charges at a 95% accuracy rate.
Works with central billing team to ensure charges are coded and entered within two business days.
Identifies educational needs and/or compliance issues and reports them to the Director of Central Billing Office. Performs accurate data entry of charges.
Responsible for resolving coding discrepancies related to coding and revenue capture. Responsible for obtaining and maintaining education appropriate to the position.
Serves as an expert resource for physicians, office management staff and central billing staff. Researches and responds to coding and compliance questions, coordinates accurate assignment of procedure codes and modifiers.