Enter patient demographic, insurance and referring physician information into medical management system.
Handle insurance verifications and authorizations.
Communicate with Office Financial Managers on insurance authorizations and referrals.
Input word codes into medical management system as per company policy.
Adhere to check and balance systems for accurate code capture.
Reply to audit findings and make coding additions or corrections.
Assess Medicare Local Coverage Determinations and Medicare bulletin updates.
Ensure documentation for complete coding and meet required regulations.
Maintain coding dictionaries, oversee and stick to global version control policy.
Function as local and global coding committee member and offer strategic support to coding issues.
Mentor personnel activities on data coding.
Execute coding guidelines and process procedures with Data Management and Medical Stakeholders.
Coordinate with global coding committee to resolve unclassifiable codes.
Develop drug safety knowledge coding conventions.
Guide and train user community to use auto-encoding and manual coding guidelines.