- Minimum 1 years of Medical Coding Experience.
- Strong Knowledge on coding appropriate ICDs, CPTs and HCPC Codes.
- Strong Knowledge to ensure in assign codes based on coding and customer guidelines.
- Hands – on Knowledge in CCI edits, LCD, NCD coverage determination etc.
- Strong Knowledge in Medical terminology, Human Anatomy and Physiology
- Knowledge of coding all CPT's related to Simple Procedures - Both Pro/ Fac
- Laceration repair
- Incision and Drainage
- Foreign body removal
- Splint
- Fracture reduction
- Nail Procedures
- Epistaxis
- Cerumen Impaction removal
- Moderate Sedation Procedure
- Blood Transfusion
- Foley/ Straight Cath Placement
- Bladder Scan
- Fracture Care
- Intraosseous Line Placement
- TPA for Stroke
- PICC Lines
- Colposcopy
- Burn care
- Critical care guidelines for both Professional/Facility, Carve out time guidelines
- Critical Care drugs/ Procedures – Both Pro/ Fac
- CPR
- Intubation
- Central Line Placement
- Cardioversion
- Chest tube insertion
- Thoracotomy
- Tracheostomy Insertion
- Pacemaker Insertion
- ED Facility - Infusions + Injections:
- Hierarchy of injection, infusion, and Hydration guidelines
- Vaccination coding
- Drugs given for procedures like CPR, intubation cannot be captured separately
- Hydrations will be captured at any rate unless documented as TKO or KVO.
Do not capture if listed as TKO or KVO - Hydration given at the same time as a blood transfusion/ Infusion of any drug- The hydration charge will not be captured unless the documentation supports the administration of the hydration was in a different site.
- Dx to cover medical necessity of hydration
- Modifiers:
- Sound Knowledge on modifiers (XU, 52,53, 76, 77.)
- Location specific modifiers
- Strong in level of service determination with 1995 & 1997 documentation guidelines and should have proficiency in ED Profee/ Facility ACEP point calculation.
- Strong knowledge in Observation service coding
Skills Required
Ed, cpt coding , ICDS, CCI, Medical Coding