Coder 2 MMG - Cardiology Coder

Methodist Health System•Dallas, TX

19h•Hybrid

About The Position

Responsible for the review of medical record documentation for accurate and compliant assignment of CPT®, HCPCS and ICD-10 codes for professional services. Engages in research and educational opportunities with the MMG healthcare provider community to advance the accuracy and payment of professional services. Will primarily review charges inpatient and outpatient for Cardiology and Cardiothoracic providers. Read and interpret medical record documentation in support of surgical procedures, office encounters, diagnostic and pathological services and assign accurate and complete CPT®, HCPCS and ICD-10 codes, as well as modifiers and units to the source document for claim submission. The coder will be responsive to provider questions by performing the necessary research into coding inquiries and follow through with written communication to educate the provider in correct coding and documentation. The coder will be assigned specialty specific work queue(s) to include Cardiology, Cardiothoracic, and Thoracic Surgery. Charge Review work queues containing CPT®, HCPCS and ICD-10 codes from current patient encounters will be assigned for the coder’s pre-claim review. This work queues contain charges that require a coder’s astute and detailed review to determine accuracy of assigned codes, missing codes, the need for modifiers and other coding-related deficiencies. Will be responsible for specialty specific claim edit work queues to review and correct edits for timely submission to the payer. Participates in education programs and monthly department meetings. Maintains 90% or higher coding accuracy. Maintains department required production. Other duties as assigned.

Requirements

Core coding certification credential from AAPC or AHIMA: CPC, CCS-P required; CCC Preferred
High school diploma or equivalent
A minimum of two years of professional coding experience or one year of professional coding experience and two years of HCC experience
Demonstrated experience in procedural/surgical coding
Strong knowledge of CMS manuals, federal and regulatory guidelines and correct coding policies
Independently disciplined in time management and productivity
Experience in electronic medical record software, preferably Epic
Microsoft Office proficient
Ability to communicate written and oral coding information to healthcare professionals

Nice To Haves

Associate degree is an asset

Responsibilities

Review charges inpatient and outpatient for Cardiology and Cardiothoracic providers.
Read and interpret medical record documentation in support of surgical procedures, office encounters, diagnostic and pathological services and assign accurate and complete CPT®, HCPCS and ICD-10 codes, as well as modifiers and units to the source document for claim submission.
Perform research into coding inquiries and follow through with written communication to educate the provider in correct coding and documentation.
Review specialty specific work queues to include Cardiology, Cardiothoracic, and Thoracic Surgery.
Review charge work queues containing CPT®, HCPCS and ICD-10 codes from current patient encounters to determine accuracy of assigned codes, missing codes, the need for modifiers and other coding-related deficiencies.
Review and correct specialty specific claim edit work queues for timely submission to the payer.
Participate in education programs and monthly department meetings.
Maintain 90% or higher coding accuracy.
Maintain department required production.
Perform other duties as assigned.