The analyst monitors and researches billing trends and claim denials to identify root causes and opportunities for revenue recovery. They also develop reporting tools and collaborate with clinic leadership to implement corrective action plans and standardized workflows.
The coder is responsible for assigning accurate ICD-CM/PCS, CPT, and HCPCS codes to inpatient and outpatient encounters to ensure data quality and optimal reimbursement. They also interact with medical staff to clarify documentation and educate providers on coding requirements.
The coder is responsible for assigning accurate ICD-CM, CPT, and HCPCS codes to professional encounters while ensuring compliance with documentation standards. They also interact with medical staff to clarify documentation and resolve rejected or denied encounters to optimize reimbursement.
The role involves assigning facility charge codes and modifiers for emergency department records to ensure optimum reimbursement. It also requires monitoring accuracy metrics and coordinating with medical staff to obtain necessary documentation.
