BS&SC
Networker
Recently landed a job as a Billing Specialist that is, for the most part, simply entering the information on the fee ticket. However, I have a hard time when the experienced biller who is training me changes a Dx code to support the payer's policy. As a CPC, I am not comfortable doing this, as I learned that it is not our job to ever change a code assigned by a physician or QHP (unless you query and they agree). I feel like I am between a rock and a hard place, being the newbie, but these charge capture entries have my name electronically associated with them and I have a certification to lose! I want to make sure something is coded correctly and not based on someone telling me to bill this code because "the payer doesn't like that code." I have tried to express my discomfort to my manager, and been advised that "we have internal auditors." Well, okay, I am not trying to be an auditor (though I can understand where a coder's mindset would feel that way to a biller), I am just trying to make sure the codes are correct and according to documentation, without regard for reimbursement.
Any advice?
Any advice?