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-Performs highly specialized diagnosis and procedural coding for all operative procedures and
inpatient consulting services performed by the faculty of the Department of Neurological Surgery including
those performed in Gainesville and Halifax Regional Medical Center. Requires review of operative reports and/or progress notes to determine documentation of billable services and to either verify or to apply the appropriate ICD-10 and CPT codes. Confirms physician attestation statements are in place, when appropriate. Provides
guidance and education to attending surgeons, fellows and residents on all coding issues. As coding
questions arise, incumbent is responsible for researching issues through all available resources including
but not limited to professional associations, federal and private payer guidelines, and coding networks.
Meets with Department Chair or Administrator on a regular basis to review individual or product line
coding issues. Verifies patient demographic and health insurance data for accuracy and resolves any
discrepancies.
Responsible for ensuring that there are no unsigned or missing operative records. Enters charges for both surgical cases and non-surgical inpatient events.
Responsible for chart reviews for the purpose of regulatory and coding compliance and to ensure all
services appropriate for coding and charging have been captured. Ensures proper documentation of
teaching provider involvement. This position is responsible for monitoring and correcting all TES edits in
the Epic system. Sets up guarantor accounts in Epic by determining if charges are considered
personal/family, auto, worker’s comp, etc. Adds insurance information into Epic by determining what the
relationship of the patient is to the subscriber, obtaining insurance policy numbers and claim address and
subscriber information such as date of birth, address, etc. Fills out claim information record for every
charge submitted in Epic, by adding items such as date of injury, state of injury, type of injury, admit date, discharge date, authorization number, etc. Verifies patient insurance by electronic submission through Epic checking website or by contacting insurance company via telephone. Determines if patient was an emergency admit, hospital to hospital transfer or an endovascular case for statistical database.
-Collaborates with the leadership of the department in developing processes to positively impact the
revenue cycle and insurance collections. Responsible for monitoring and analyzing denial and write-off
trends. Once unfavorable reimbursement and billing trends are identified, the incumbent is responsible
for assisting the department leadership in generating processes to resolve unfavorable trends.
-Works closely with Assistant Director to determine charges to be rendered for surgical procedures
and insurance reimbursement on those patient accounts. Attends monthly meetings with the Coder’s
Forum to review EPIC product line performance and coding issues. Conducts independent research and
prepares reports as requested by Associate Director and faculty members to determine appropriateness
and effectiveness of coding practices.
-Attends periodic meetings, seminars and classes to improve coding skills. Remains current on coding
changes and works to become an expert in neurosurgical coding. Reviews publications for same
purpose.
-Train faculty members and residents on methods of coding and billing and keep them apprised of coding changes, as well as assists faculty with the resolution of coding questions and problems.
Serves as a liaison to multiple internal and external entities including, but not limited to:
Department of Neurosurgery
University of Florida Physicians (UFP)
Compliance Office
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