Certified Coding Analyst
Current• Acts as a coding and medical record documentation resource for physicians, clinical department staff and Business Office staff• Researches and communicates revisions to coding and billing guidelines (American Medical Association™ CPT, ICD-10-CM)• Assists in the communication process of resolving reimbursement or coding-related denial issues with contracted payers• Assists in the appeal process for denials received as they relate to coding (e.g., unbundling, CPT/diagnosis inconsistent, etc• Responds to third-party payer and governmental coding audits, including but not limited to RAC and CERT audits• Provides coding guidance on claims placed in the CODINGRVW worklist in Athena• Acts as a resource to the Central Business Office (CBO) and clinical departments for coding and documentation matters