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, applying coding principles and DRG/APC reimbursement expertise. It reviews health records in accordance with official coding guidelines, enters data and codes into multiple software programs and client systems, and extracts pertinent information for reports and billing documents. The position also tracks productivity, meets client-defined productivity levels, maintains a 95% quality rating, and complies with regulatory requirements, company policies, HIPAA, and other applicable standards. This is a full-time, remote home-office position. Work is 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.
- A minimum of two to four years of current production coding experience in both acute care and professional fee coding.
- Certified Professional Coder (CPC), CCS-P, or equivalent coding credential.
- At least two years of recent, credentialed Professional Fee coding experience in Obstetrics/Gynecology.
- At least two years of Epic experience.
- At least two years of 3M experience.
- 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.
- Ability to maintain courteous and professional working relationships with employees at all 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 reimbursement and accreditation.
Nice To Haves
- Primary Care experience.
- NICU experience.
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 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 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.
Benefits
- Health coverage
- Dental coverage
- Vision coverage
- Voluntary insurance options
- 401(k) plan with employer match
- Professional development opportunities
- Paid time off
- Holiday pay
- Eligible employees may participate in 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
