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 codes to support reimbursement, research, epidemiology, statistical analysis, financial and strategic planning, quality-of-care evaluation, and communication supporting patient treatment. The employee is responsible for maintaining the confidentiality of patient records and procedures. The position operates in a remote home office environment, generally Monday through Friday from 8:00 a.m. to 5:00 p.m. It is full-time and 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 coding.
- Active coding credential.
- Critical Care coding experience.
- CIRCC certificate and/or license.
- 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 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, interpersonal, presentation, verbal, and written communication skills.
- Ability to develop and maintain trusted relationships with business partners and professional working relationships with employees at all organizational levels.
- 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, as well as principal and secondary procedure codes, with accurate sequencing.
- Use 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, 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 used by various clients.
- Track and document productivity in specified systems and maintain productivity levels defined by the client.
- Maintain a 95% quality rating.
- Perform duties in compliance with company policies and procedures, including those relating to HIPAA and compliance.
- Maintain confidentiality of patient records and procedures.
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
Education Level
No Education Listed
