Coder Physician
About The Position
Responsible for abstracting, coding, sequencing, and interpreting clinical information from inpatient, outpatient, emergency department, pro-fee, and clinical medical records. Assigns principal and secondary diagnoses and procedures with accurate sequencing, applying technical coding principles and DRG/APC reimbursement expertise. Abstracts pertinent medical data into software programs and encoders, reviews health records under official coding guidelines, and maintains compliance with regulatory, accreditation, state, and federal requirements. Extracts relevant information from patient records, determines appropriate codes for reports and billing documents, identifies physician services and procedures, and enters codes into client-specific computer systems. Tracks and documents productivity, meets client-defined productivity levels, and maintains a 95% quality rating. Performs duties in accordance with company policies and procedures, including HIPAA and compliance requirements.
Requirements
- At least 2 years of experience.
- Ability to prioritize and multitask in a fast-paced, changing environment.
- Ability to work across 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 build and maintain relationships with key business partners through credibility and trust.
- Ability to maintain courteous and professional working relationships with employees at all organizational levels.
- Excellent analytical, critical-thinking, and problem-solving skills.
- Skill in operating a personal computer and using a variety of software applications.
- Knowledge of coding conventions and rules established by AHIMA, AMA, AHA, and CMS for diagnostic and surgical procedural code assignment.
- Knowledge of JCAHO, coding compliance, and HIPAA HITECH standards affecting medical records and their impact on reimbursement and accreditation.
Responsibilities
- Abstract, code, sequence, and interpret clinical information from inpatient, outpatient, emergency department, pro-fee, and clinical medical records.
- Assign principal and secondary diagnoses and principal and secondary procedure codes, ensuring accurate sequencing.
- Apply technical coding principles and DRG/APC reimbursement expertise to assign appropriate codes.
- Abstract and enter pertinent medical data into software programs, encoders, and client-specific computer systems.
- Review and analyze health records in accordance with official coding guidelines.
- Maintain compliance with external regulatory and accreditation requirements and state and federal regulations.
- Extract pertinent patient-record data and determine appropriate codes for reports and billing documents.
- Identify codes for medical services and procedures performed by physicians.
- Track and document productivity in specified systems and meet client-defined productivity levels.
- Maintain a 95% quality rating.
- Perform duties in compliance with company policies and procedures, including those related to HIPAA and compliance.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
