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Subject matter expert in at least one specialty, e.g., oncology, gynecology, surgical coding (not including primary care procedures) and infusion coding including chemotherapy and infusions involving multiple drugs
Assigns CPT and ICD codes in cases of moderate to high complexity
Reads, interprets and assigns CPT codes from provider documentation, e.g., infusion record or operative report
Performs ICD and CPT coding of provider (professional) services and verifies that all requisite charge information is entered
Appends all modifiers
Ranks CPT codes when multiple codes apply
Assigns Evaluation and Management (E/M) codes
Performs reconciliation process to ensure all charges are captured
Processes automated or manually enters charges into applicable billing system
Researches and analyzes coding and payer specific issues
Processes charges on a timely basis and communicates with team members and practice management on an ongoing basis
Communicates with providers related to coding issues that are of moderate to high complexity. Including face to face interaction, explaining coding rationales, and education with providers