Strong Knowledge on coding appropriate ICDs, CPTs and HCPC Codes.
Strong Knowledge to ensure in assign codes based on coding and customer guidelines.
Hands on Knowledge in CCI edits, LCD, NCD coverage determination etc.
Strong Knowledge in Medical terminology, Human Anatomy and Physiology
Knowledge of coding all CPTs related to Simple Procedures - Both Pro/ Fac
Laceration repair
Incision and Drainage
Foreign body removal
Splint
Fracture reduction
Nail Procedures
Epistaxis
Cerumen Impaction removal
Moderate Sedation Procedure
Blood Transfusion
Foley/ Straight Cath Placement
Bladder Scan
Fracture Care
Intraosseous Line Placement
TPA for Stroke
PICC Lines
Colposcopy
Burn care
Critical care guidelines for both Professional/Facility, Carve out time guidelines
Critical Care drugs/ Procedures Both Pro/ Fac
CPR
Intubation
Central Line Placement
Cardioversion
Chest tube insertion
Thoracotomy
Tracheostomy Insertion
Pacemaker Insertion
ED Facility - Infusions + Injections:
Hierarchy of injection, infusion, and Hydration guidelines
Vaccination coding
Drugs given for procedures like CPR, intubation cannot be captured separately
Hydrations will be captured at any rate unless documented as TKO or KVO. Do not capture if listed as TKO or KVO
Hydration given at the same time as a blood transfusion/ Infusion of any drug- The hydration charge will not be captured unless the documentation supports the administration of the hydration was in a different site.
Dx to cover medical necessity of hydration
Modifiers:
Sound Knowledge on modifiers (XU, 52,53, 76, 77.)
Location specific modifiers
Strong in level of service determination with 1995 & 1997 documentation guidelines and should have proficiency in ED Profee/ Facility ACEP point calculation.
Strong knowledge in Observation service coding
Maintaining a quality threshold of 97% and meeting the client expectations.
Maintaining 100% production from day 1 (per ramp)
Job Classification
Industry: BPM / BPOFunctional Area / Department: Healthcare & Life SciencesRole Category: Healthcare & Life Sciences - OtherRole: Healthcare & Life Sciences - OtherEmployement Type: Full time