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 principal and secondary diagnoses and procedure codes, applies coding principles and DRG/APC reimbursement expertise, and follows official coding guidelines. It extracts pertinent information from health records, determines coding for reports and billing documents, and enters codes into software systems and encoders for different clients. The position tracks and documents productivity, meets client-defined productivity levels, maintains a 95% quality rating, and complies with company policies, HIPAA, external regulatory and accreditation requirements, and applicable state and federal regulations. It is a full-time role in a remote home-office environment, generally Monday through Friday, 8:00 a.m. to 5:00 p.m., with occasional long hours and weekend work. Minimal travel of up to 5% is required.
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; the qualifications section also specifies two years of post-certification experience.
- EPIC experience required.
- Must hold one or more of the following certificates and/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 procedural codes.
- Knowledge of JCAHO, coding compliance, and HIPAA HITECH standards affecting medical records and 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 business partners and professional working relationships across the organization.
- Excellent analytical, critical-thinking, and problem-solving skills.
- Skill operating a personal computer and using a variety of software applications.
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.
- Apply technical coding principles and DRG/APC reimbursement expertise to assign appropriate codes.
- Abstract and code pertinent medical data in software programs and encoders, following official coding guidelines to review and analyze health records.
- Maintain compliance with external regulatory and accreditation requirements and state and federal regulations.
- Extract pertinent data from patient health records and determine appropriate coding for reports and billing documents.
- Identify codes for medical services and physician-performed procedures, and enter codes into computer systems as required by clients.
- Track and document productivity in specified systems and maintain client-defined productivity levels.
- Maintain a 95% quality rating.
- Perform duties in compliance with company policies and procedures, including HIPAA and compliance requirements.
- Occasionally work long hours and weekends.
- Travel up to 5%.
- Perform other duties as assigned.
Benefits
- Health coverage
- Dental coverage
- Vision coverage
- Voluntary insurance options
- 401(k) plan with employer match
- Professional development opportunities
- Paid time off
- Holiday pay
- Potential eligibility for bonus programs, commissions, or other variable incentive plans
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
