Medical Record Review
Responsible for supporting multiple specialties within OB/GYN (including General OB/GYN/Family Planning, Urogynecology, Gyn-Oncology, Perinatology) and Center for Women’s Health (Primary Care, Behavioral Health and Integrated Medicine) and Pediatrics. This position requires experience in coding and requires certification with AAPC or AHIMA.
- This position is responsible for reviewing and coding from clinical documentation abstraction, applying the correct coding CPT, ICD-10 and modifiers to evaluation and managements services and outpatient procedures. This position ensures that the documentation supports the levels or types of service billed, and ensures the documentation is following Medicare/Medicaid billing regulations, and provider documentation guidelines, CPT documentation and CMS coding guidelines.
- Responsible for meeting performance standards set for accurate and timely submission of charges and coding for professional services rendered at OHSU, outside clinics, and surgical centers where OHSU providers are rendering services.
- Requires maintaining an hourly productivity standard and quality standard as set by Women’s & Children’s Services Finance and based on Industry Standards.
- Coding Work Queue assignments will vary based on business needs or management assignment.
- Will require attendance at various meetings via conference call and Webex.
Education
- Educates providers regarding coding and billing practices, and documentation requirements as it relates to charges they’ve submitted. Works with department leadership to orient peer coders, or new hires on specified coding assignments.