Clinical Coding Specialist – ProFee in Houston, Texas

Key Functions

  1. Analyzes medical records and abstract clinical data by assigning codes (ICD10, CPT, HCPCS) from patient records in accordance with coding classification systems.
  2. Reviews patient encounters for accurate code assignment of all relevant diagnoses and procedures. Exports appropriate codes from CodeRyte and/or Epic charge systems.
  3. Assign appropriate modifiers, and apply guidelines as indicated through the Limited Coverage Diagnosis (LCD), as well as the National Correct Coding Initiative (CCI).
  4. Meet or exceed department production and accuracy standards.
  5. Maintains coding knowledge and skills through attending continuing education activities and reviewing pertinent literature, attending institutional coding meetings, AAPC/AHIMA seminars, and other educational forums.
  6. Queries physicians and/or departments when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes.
  7. Resolves coding edits in Epic by performing second review of medical record documentation and code assignments.