– Serves as principal point of resource for the AR-DRG, CPT, ICD-10-AM and ACHI. mapping codes with MOH e-claims and Current codes.
– Develop New DRG codes and activate new CPTs based on International Coding System with suggestion and proposal for codes and prices.
– Follows procedures and guidelines for Coding and Abstracting systems and to work with ITD to update the computerized Coding systems and teaches coding use whenever needed.
– Breakdown of policies based on experience into ICD-10-AM, DRGs, and CPTs coding system to facilitate insurance coverage, approvals and billing.
– Develop projects for new services for In and Out-Patient departments i.e. define codes with relative cost based on international coding and pricing systems
– Compare existing Price List with other facilities to ensure proper utilization and cost effectiveness of services.
– Develop new services for IN and OUT patient departments to ensure proper utilization and cost effectiveness of service based on package costing (inclusion/exclusions) and review.
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