Coder Physician
About The Position
Responsible for abstracting, coding, sequencing and interpreting the clinical information from inpatient, outpatient, emergency department, pro fee, and clinical medical records. Responsible for the assignment of correct principal diagnoses, secondary diagnoses and principal procedure and secondary procedure codes with attention to accurate sequencing. Utilizes technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes. Abstracts and codes pertinent medical data into multiple software programs and/or encoders. Follows official coding guidelines to review and analyze health records. Maintains compliance with both external regulatory and accreditation requirements, and with State and Federal regulations. Extracts pertinent data from the patient’s health record and determines appropriate coding for reports and billing documents. Identifies codes for reporting medical services, procedures performed by physicians. Enters codes into various computer systems dependent upon the various clients. Track and document productivity in specified systems, maintain productivity levels as defined by the client. Maintain 95% quality rating Perform duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance.
Requirements
- Ability to prioritize and multi-task in a fast-paced, changing environment.
- Ability to work in all work types and specialties.
- Ability to self-motivate, set goals, and meet deadlines.
- Leadership, mentoring, and interpersonal skills.
- Excellent presentation, verbal, and written communication skills.
- Ability to develop and maintain relationships with key business partners.
- Maintain courteous and professional working relationships.
- Excellent analytical, critical thinking and problem-solving skills.
- Skill in operating a personal computer and utilizing a variety of software applications.
- Knowledge of coding convention and rules established by AHIMA, AMA, AHA and CMS.
- Knowledge of JCAHO, coding compliance and HIPAA HITECH standards.
- Successful completion of an AAPC or AHIMA-approved Coding Certificate Program.
- Minimum of two to four years of current production coding experience in both acute care and profee.
- Two years Internal Medicine and Endocrinology experience required.
- CPC, RHIT, RHIA, or equivalent.
- Computer knowledge is a must.
Nice To Haves
- HCC experience a plus
- 3M experience preferred
- Microsoft experience.
Responsibilities
- Abstracting, coding, sequencing and interpreting clinical information from various medical records.
- Assigning correct principal and secondary diagnoses and procedure codes with accurate sequencing.
- Utilizing technical coding principles and DRG/APC reimbursement expertise.
- Abstracting and coding medical data into software programs and encoders.
- Reviewing and analyzing health records according to official coding guidelines.
- Maintaining compliance with regulatory, accreditation, State, and Federal requirements.
- Extracting pertinent data and determining appropriate coding for reports and billing documents.
- Identifying codes for reporting medical services and physician-performed procedures.
- Entering codes into various computer systems.
- Tracking and documenting productivity and maintaining defined productivity levels.
- Maintaining a 95% quality rating.
- Performing duties in compliance with company policies, including HIPAA and compliance.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
