Clinical Coder III

Reviews all practitioner notes types documented in EPIC for abstraction of billable inpatient and outpatient services to include evaluation and management (E/M) services, tests, and procedures.  Assists other divisions in coding and billing as needed to ensure appropriate lag time is maintained.

Reviews practitioner documentation to ensure accuracy, compliance, timely completion and electronic signatures.  Confirms adequate teaching physician documentation.

Responsible for charge data entry into EPIC while ensuring clean claim submission to include working any edits that Charge Review may generate.  

Resolves all denials in a timely manner by responding to UFP’s information requests.

Provides feedback to practitioners regarding documentation issues which can impact reimbursement or do not meet compliance requirements. Reviews and validates that practitioner note templates are compliant.  Works with the practitioners to resolve issues to ensure accurate coding.

Schedules and facilitates educational sessions with practitioners.

Creates and maintains coding/documentation training materials and participates in providing guidance and education to practitioners individually or in groups in regards to documentation, reimbursement, and compliance.

Researches coding and reimbursement issues through all available resources, including but not limited to professional associations, federal and private payor guidelines, college/department policy, and coding networks.  Assists in designing and implementing billing procedures.

Informs supervisor, divisional administrators, and faculty of important changes in coding and reimbursement.