• The coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance • Under the direction of the coding manager—the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets • The coder scope may involve reviewing coding related denials from payers and recommending the appropriate action to resolve the claim based on payer guidelines • Maintain a working knowledge of ICD-10 and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing • Assure that all services documented in the patient’s chart are coded with appropriate ICD-10 and CPT codes • When services/diagnoses are not documented appropriately, seeks to attain proper documentation in a timely manner according to facility standards • Achieve and maintain 95% accuracy in coding while maintaining a high level of productivity • Accuracy will be monitored during monthly reviews • Maintain average productivity standards as follows Work the review queue daily to ensure all charts that are placed in the review queue are worked and any corrections are communicated to the facility if necessary • Correct and communicate charts that require re-bills to the facility daily for the re-bill process • Coder downtime must be reported immediately to the administrative staff to ensure turnaround is met • Work directly with the IQC staff to ensure quality standards are being met for each facility • Provide accurate answers to physician’s/hospitals coding and/or billing questions within eight hours of request • Responsible for coding or pending every chart placed in their queue within 24 hours • Notify administrative staff in the event they cannot meet the twenty-four hour turn around standard • Coders are responsible for checking the Guidehouse email system at least every two hours during coding session • Maintain their current professional credentials while working for Guidehouse • Coders are responsible for becoming familiar with the Guidehouse coding website and using the information contained in the website as a daily tool to correctly code and abstract for each facility • Maintain HIPAA compliant workstations (reference HIPAA workstation policy) • Review and adhere to the coding division policy and procedure manual content • Work with other members of the facilities coding and billing team to insure maximum efficiency and reimbursement for properly documented services • Communicate problems or coding principal discrepancies to their supervisor immediately