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 PhysiologyKnowledge of coding all CPT's related to Simple Procedures - Both Pro / FacLaceration repairIncision and DrainageForeign body removalSplintFracture reductionNail ProceduresEpistaxisCerumen Impaction removalModerate Sedation ProcedureBlood TransfusionFoley / Straight Cath PlacementBladder ScanFracture CareIntraosseous Line PlacementTPA for StrokePICC LinesColposcopyBurn careCritical care guidelines for both Professional / Facility, Carve out time guidelinesCritical Care drugs / Procedures – Both Pro / FacCPRIntubationCentral Line PlacementCardioversionChest tube insertionThoracotomyTracheostomy InsertionPacemaker InsertionED Facility - Infusions + Injections :Hierarchy of injection, infusion, and Hydration guidelinesVaccination codingDrugs given for procedures like CPR, intubation cannot be captured separatelyHydrations will be captured at any rate unless documented as TKO or KVO. Do not capture if listed as TKO or KVOHydration 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 hydrationModifiers :Sound Knowledge on modifiers (XU, 52,53, 76, 77.)Location specific modifiersStrong 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 codingSkills Required
Ed, cpt coding , ICDS, CCI, Medical Coding