I code from the operative report for 4 different specialties; trauma, neurosurgery, plastics and cardiothoracic. I've done Orthopaedics in the past. From start to finish in our process, we are responsible for printing from the schedule to see what was done in the OR the day before, printing any op notes that are ready, abstracting the codes (CPT and ICD-9) from the note, making coding suggestions to the surgeons via email, waiting for their response and disputing if necessary, preparing for charge entry (getting appropriate locations (IP/OP), making sure the op notes is signed before billing, and then doing the actual charge entery. Balancing the batch, and finally filing. In addition, we work our own edits created from what we entered, as well as resolve some coding issues and disputes that our insurance department reps need help with, to get them paid. This involves a bit of research for each request. Educating the providers when necessary.
Presently, we are expected to do 20 a day, or 100 per week.
Lisa May, CPC
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