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 accurate initial and principal diagnoses, secondary diagnoses, procedures, and modifiers, with appropriate sequencing, using ICD-10-CM and CPT codes. It applies technical coding principles and DRG/APC reimbursement expertise, abstracts pertinent data into multiple software programs or encoders, and follows official coding guidelines and applicable regulatory and accreditation requirements. The position supports accurate coding for reports and billing documents, enters codes into client-specific computer systems, and tracks and documents productivity while meeting client-defined productivity levels and maintaining a 95% quality rating. The role may also include training and auditing. The employee is expected to comply with company policies and procedures, including HIPAA and compliance requirements. This is a full-time position in a remote home-office environment. Work is generally Monday through Friday, 8:00 a.m. to 5:00 p.m.; the position occasionally requires long hours and weekend work. Minimal travel is required, 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 coding.
- An active coding credential.
- Previous interventional radiology (IR) coding experience; former IR coding experience is required.
- Ability to work across work types and specialties.
- Ability to prioritize and multitask in a fast-paced, changing environment, self-motivate, set goals, and meet deadlines.
- 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.
- Excellent analytical, critical-thinking, and problem-solving skills.
- Skill 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.
- Ability to occasionally perform physical activities including standing, walking, sitting, handling objects or controls, reaching, climbing stairs, balancing, stooping, kneeling, crouching, crawling, and talking or hearing.
- Ability to occasionally lift or move up to 25 pounds; vision abilities include close and distance vision, peripheral vision, depth perception, and focus adjustment.
Nice To Haves
- Preference for a multispecialty surgical coding background, including Neurosurgery, Urology, Orthopaedics, Cardiothoracic, Vascular, Gastroenterology, Colorectal, Oral, or General Surgery.
- Profee CIRCC certification as an IR coder.
Responsibilities
- Abstract, code, sequence, and interpret clinical information from inpatient, outpatient, emergency department, professional-fee, and clinical medical records.
- Assign accurate initial and principal diagnoses, secondary diagnoses, procedures, and modifiers, including ICD-10-CM diagnosis codes and CPT codes.
- Apply technical coding principles and DRG/APC reimbursement expertise to select appropriate codes and sequencing.
- Abstract pertinent medical data into multiple software programs and/or encoders, and enter codes into client-specific computer systems.
- Follow official coding guidelines and review and analyze 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.
- Track and document productivity in specified systems and maintain client-defined productivity levels.
- Maintain a 95% quality rating or score.
- Perform duties in compliance with company policies and procedures, including HIPAA and compliance requirements.
- The role may include training and auditing.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
