Coder Physician
About The Position
The Coder Physician reviews medical records and codes diagnoses, procedures, DRG/APC, and charge codes under limited supervision. The role selects accurate codes to support reimbursement, research, epidemiology, statistical analysis, financial and strategic planning, quality-of-care evaluation, and communication related to patient treatment. The position requires maintaining the confidentiality of patient records and procedures. The Coder Physician works with inpatient, outpatient, emergency department, professional-fee, and clinical medical records. The role follows official coding guidelines and applicable regulatory, accreditation, State, and Federal requirements, and maintains compliance with company policies, including HIPAA and compliance policies. This is a full-time position performed in a remote home office environment, generally Monday through Friday, 8:00 a.m. to 5:00 p.m. Occasional long hours and weekend work may be required. 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 coding.
- Active coding credential.
- Previous Critical Care coding experience.
- Required certification/license: CIRCC.
- Knowledge of coding conventions and rules established by AHIMA, the American Medical Association, the American Hospital Association, and the Centers for Medicare and Medicaid Services for assigning diagnostic and surgical procedural codes.
- 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 develop and maintain relationships with key business partners by building 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.
Nice To Haves
- Multi-specialty 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, ensuring accurate sequencing.
- Apply technical 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 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 codes for reports and billing documents.
- Identify codes for reporting medical services and procedures performed by physicians.
- Enter codes into computer systems used by various 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 those related to HIPAA and compliance.
- Maintain the confidentiality of patient records and procedures.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
