Coder Physician
About The Position
Under limited supervision, the Coder Physician reviews medical records and codes diagnoses, procedures, DRG/APC, and charge codes. The role uses accurate coding for reimbursement, research, epidemiology, statistical analysis, financial and strategic planning, quality-of-care evaluation, and communication in support of patient treatment. The Coder Physician is responsible for maintaining the confidentiality of patient records and procedures. The position abstracts, codes, sequences, and interprets clinical information from inpatient, outpatient, emergency department, professional fee, and clinical medical records. It extracts relevant data, assigns appropriate codes for reports and billing documents, and enters codes into client-specific computer systems. The Coder Physician follows official coding guidelines and applicable regulatory and accreditation requirements, including State and Federal regulations, HIPAA, and company policies. The role tracks and documents productivity, meets client-defined productivity levels, and maintains a 95% quality rating. This is a full-time remote position, generally Monday through Friday, 8:00 a.m. to 5:00 p.m. It may occasionally require long hours and weekend work. Travel is minimal, up to 5%.
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 (profee) coding.
- An active coding credential.
- CIRCC certificate and/or license.
- Knowledge of coding conventions and rules established by AHIMA, the American Medical Association (AMA), the American Hospital Association (AHA), and the Centers for Medicare and Medicaid Services (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.
- Ability to prioritize and multitask in a fast-paced, changing environment and work across 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 credibility and trust and maintain relationships with key business partners and professional working relationships across the organization.
- Excellent analytical, critical-thinking, and problem-solving skills.
- Skill in operating a personal computer and using a variety of software applications.
- Ability to occasionally perform physical activities including standing, walking, sitting, using hands, reaching, climbing stairs, balancing, stooping, kneeling, crouching, crawling, and talking or hearing; occasionally lift or move up to 25 pounds.
- Ability to meet the position’s vision requirements, including close and distance vision, peripheral vision, depth perception, and adjusting focus.
Nice To Haves
- Previous orthopedic surgery coding experience.
- A multispecialty surgical background, especially in neurosurgery, urology, and orthopedics.
Responsibilities
- Abstract, code, sequence, and interpret clinical information from inpatient, outpatient, emergency department, professional fee, and clinical medical records.
- Assign correct principal and secondary diagnoses and principal and secondary procedure codes, with accurate sequencing.
- Use coding principles and DRG/APC reimbursement expertise to assign appropriate codes.
- Abstract and code pertinent medical data into multiple software programs and/or encoders.
- Follow official coding guidelines when reviewing and analyzing health records.
- Maintain compliance with external regulatory and accreditation requirements and applicable State and Federal regulations.
- Extract pertinent data from patient health records and determine appropriate coding for reports and billing documents.
- Identify codes for reporting medical services and procedures performed by physicians.
- Enter codes into computer systems as required by clients.
- Track and document productivity in specified systems and maintain productivity levels defined by the client.
- Maintain a 95% quality rating.
- Comply with company policies and procedures, including those related to HIPAA and compliance.
- Maintain the confidentiality of patient records and procedures.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
