ENMIP Coder

Tips: Provide a summary of the role, what success in the position looks like, and how this role fits into the organizatio Audits records to ensure proper submission of services prior to billing on pre-determined selected charges 2. Receives information to properly bill provider services for patients 3. Supplies correct ICD-9-CM /ICD-10-CM diagnosis codes on all diagnoses provided 4. Supplies correct HCPCS code on all procedures and services performed 5. Supplies correct CPT code on all procedures and services performed 6. Audits medical records to ensure proper coding completed and to ensure compliance with federal and state regulatory bodies 7. Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies 8. Maintains compliance standards in accordance with the Compliance policies and the Code of Conduct. Reports compliance problems appropriately. 9. Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete. 10. Quantitative analysis - Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered. 11. Qualitative analysis - Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria. 12. Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code 13. Performs other related duties, which may be inclusive, but not listed in the job descriptionn overall.
Responsibilities [Be specific when describing each of the responsibilities. Use gender-neutral, inclusive language.] Example: Determine and develop user requirements for systems in production, to ensure maximum usability
Qualifications [Some qualifications you may want to include are Skills, Education, Experience, or Certifications.] Example: Excellent verbal and written communication skills

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