Clinical Reimbursement Specialist - Cath Lab Coder

REQUIRED

• 5 years coding: Cath lab Charging / Coding for diagnostic and invasive procedures
• Credential - CIRCC, RHIA/RHIT
• Utilize EPIC and WITT

JOB DESCRIPTION

• Evaluates Cath lab notes and identifies the appropriate procedures charges / CPT codes/modifiers
• Identifies when documentation relevant to coding the procedure is missing, lacks specificity, or is inconsistent and communicates with physicians via EPIC in basket messaging to obtain the missing information
• Applies regulatory requirements such as medical necessity policies as CPT codes are being selected
• Demonstrates an expert knowledge of hospital outpatient coding guidelines, medical terminology, anatomy/physiology, and payer specific coding guidelines. Understands reimbursement methodology and public reporting of outcomes.