Coder Physician
About The Position
The Coder Physician abstracts, codes, sequences, and interprets clinical information from inpatient, outpatient, emergency department, professional-fee, and clinical medical records. The role assigns diagnoses and procedures, including principal and secondary codes, using applicable coding guidelines and DRG/APC reimbursement knowledge. It also involves entering coded data into client systems, maintaining productivity and quality standards, and supporting accurate reporting and billing. This position works remotely from a home office and is full-time, generally Monday through Friday from 8:00 a.m. to 5:00 p.m. Occasional long hours and weekend work may be required, and travel is minimal (up to 5%). The position requires current production coding experience in acute care and professional-fee settings, an approved coding certificate program, and one or more specified coding credentials. It also requires E/M coding proficiency and knowledge of Pain Management diagnosis coding.
Requirements
- Successful completion of an AAPC- or AHIMA-approved Coding Certificate Program.
- Two to four years of current production coding experience in both acute care and professional-fee settings.
- At least two years of E/M coding experience; proficiency in E/M coding is required.
- In-depth knowledge of Pain Management diagnosis coding.
- Must hold one or more of the following certificates or licenses: CPC, COC, CIC, RHIA, RHIT, CCS, and/or CCS-P.
- Knowledge of coding conventions and rules established by AHIMA, AMA, AHA, and CMS for diagnostic and surgical procedure code assignment.
- Knowledge of JCAHO, coding compliance, and HIPAA HITECH standards affecting medical records and reimbursement and accreditation.
- Ability to work across work types and specialties, prioritize, multitask, self-motivate, set goals, and meet deadlines.
- Strong analytical, critical-thinking, problem-solving, and attention-to-detail skills.
- Leadership, mentoring, interpersonal, presentation, verbal, and written communication skills.
- Ability to build and maintain relationships with business partners and professional working relationships with employees at all organizational levels.
- Skill operating a personal computer and using a variety of software applications.
- Proficiency with coding software and electronic health record systems.
- Familiarity with medical terminology and anatomy.
- Ability to work independently and manage time effectively.
- Must have access to two screens or monitors for remote work.
- Ability to occasionally perform the physical activities described, including lifting or moving up to 25 pounds.
Nice To Haves
- Orthopedic Surgery coding experience is preferred but not required.
- A positive and collaborative attitude, with willingness to learn and adapt.
Responsibilities
- Abstract, code, sequence, and interpret clinical information from medical records across inpatient, outpatient, emergency department, professional-fee, and clinical settings.
- Assign accurate principal and secondary diagnoses and procedure codes, including appropriate sequencing.
- Apply coding principles, official coding guidelines, and DRG/APC reimbursement knowledge.
- Abstract pertinent medical data into software programs and encoders, and enter codes into client computer systems.
- Review and analyze health records and documentation to assign appropriate ICD-10-CM, CPT, and HCPCS codes.
- Extract pertinent information from patient records for coding, reports, and billing documents.
- Identify codes for medical services and procedures performed by physicians.
- Maintain compliance with coding regulations, accreditation requirements, HIPAA, company policies, and applicable State and Federal regulations.
- Track and document productivity in specified systems, meet client productivity expectations, and maintain a 95% quality rating.
- Stay current with coding standards, guidelines, and industry trends, especially in Hematology and Oncology.
- Collaborate with physicians and healthcare providers to clarify documentation and obtain information needed for accurate coding.
- Complete coding work efficiently and on time to meet client deadlines.
- Participate in team meetings and provide constructive feedback to improve coding processes.
- Assist with training and mentoring new coders and share expertise and best practices.
- Organize and prioritize multiple coding projects and tasks.
- Maintain professional working relationships and communicate effectively with colleagues and business partners.
- Perform other duties as assigned.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
