Specifications include, but are not limited to: 1. Coding Services: a. Ability to review documentation and request clarification, addendums, or further information from physician or department for maximization of procedure code assigned for the service rendered and accurately assign CPT and ICD codes based on current CMS or insurance carrier specific guidelines. i. Provide timely feedback within 2 days, to requests for claim edits, questions, and denials for proper payment and claim follow through assistance as part of the initial coding request. b. Initial coding of documentation returned for charge entry in at max, 3 days. c. Direct entry into TTUHSC Fee Ticket and GE Centricity databases, d. Access into TTUHSC Cerner database for documentation review. 2. Coding Compliance Review Services: Ability to provider current education and documentation from CMS or current coding rules that support the findings documented. 3. Coding Helpline Services: Ability to provider current education and documentation from CMS or current coding rules that support the findings documented. 4. Online Documentation Training Services: Format for both understanding of coding rules for coders and physicians as well as physician documentation improvement. 5. Telephonic Education Services: 6. Online Data Interface: Secure online interface or other option other than faxing for transferring of documentation for coding.
