Medical Coder, Per Diem (Hybrid Candidates Considered)

Cape Cod Healthcare•Hyannis, MA

41d•Hybrid

About The Position

This position involves analyzing, sequencing, and validating assigned codes based on medical record documentation. The Medical Coder will use automated encoders, books, and coding compliance resources to ensure accurate coding. A comprehensive understanding of coding rules, anatomy, physiology, and medical terminology is essential. The role requires reviewing medical record documentation to assign diagnoses, procedures, level codes, and modifiers, ensuring compliance with regulatory and reimbursement requirements. Responsibilities include abstracting and entering patient information into the computer system, assessing documentation adequacy, and querying physicians for clarification. The Medical Coder will also reconcile and retrieve medical records, maintain a high accuracy rate, and achieve daily productivity standards. Additionally, the role involves assisting with new personnel orientation, pursuing professional development to maintain coding certification, and monitoring coding functions for potential improvements. Performing duties professionally and assisting with other related tasks as assigned are also key aspects of this position.

Requirements

High School Diploma or GED
Must meet CPC Certification eligibility requirements and must obtain CPC Certification within 3 months of position
Ability to read, write and communicate in English
Comprehensive understanding of ICD10 and CPT coding
Successful passage of Coding exam, demonstrating understanding of coding and impact on reimbursement with a grade of 80% or higher
Demonstrated ability to create strong working relations with physicians and practices.
Capable of working independently as well as in a team environment

Nice To Haves

Two years of Outpatient Coding experience preferred

Responsibilities

Analyzes, sequences and validates assigned codes based on medical record documentation using the automated encoder, book and coding compliance resources.
Demonstrates complete understanding of coding rules, anatomy, physiology and medical terminology to appropriately code patient information.
Reviews all medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers.
Ensures that coding compliance, regulatory and reimbursement requirements are met through the process of assigning reimbursement classifications.
Abstracts and enters demographic, clinical and related patient information into the computer system.
Assesses adequacy of documentation and queries physicians and other healthcare providers to obtain additional medical record documentation or to clarify documentation to ensure accurate and appropriate coding and grouping.
Reconciles, identifies and retrieves medical records to be coded.
Maintains a 95% ongoing accuracy rate.
Consistently achieves daily coding output within the minimal productivity standards set by MACC. Self-manages and prioritizes work flow to achieve timely submission of claims and optimal productivity.
Maintains accurate productivity logs and provides this information to management in a timely fashion.
Assists in the orientation and development of new coding personnel.
Assumes professional responsibility for development of skills and ongoing education to maintain Active Coding certification.
Remains abreast of developments in health information management by pursuing a program of professional development, attending educational programs and meetings and reviewing pertinent literature.
Continuously monitors medical record documentation, individual performance and department workflow as related to the coding function to identify problems and potential solutions (especially related to errors and compliance issues). Communicates with the PB Coding Manager to find solutions and implement changes to increase productivity and department efficiency.
Performs all duties and interacts with others in a professional manner.
Performs other related duties as assigned.