Physician Coder IV, Professional Billing

Hackensack Meridian Health•Edison, NJ

1d•$40

About The Position

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Physician Coder IV is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare & Medicaid Services (CMS) directives across Hackensack Meridian Health (HMH) network. Performs data entry of required abstracted patient information into the electronic medical record system. Queries physicians when appropriate.

Requirements

High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.
Minimum of 4+ years of coding experience, Trauma Level 1 and Academic Teaching facility.
Strong understanding of physiology, medical terms and anatomy.
Proficient in Profee Coding and E/M guidelines (95/97, 2021 update).
Proficient in coding CPT for all Inpatient and Outpatient Operating Room procedures.
Proficiency in computer skills including typing speed and accuracy.
Excellent written and verbal communication skills.
Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.
Registered Health Information Technician or Registered Health Information Administrator Certification or Certified Coding Specialist or Certified Professional Coder.
An approved American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) coding credential.

Nice To Haves

Multiple years of coding experience, Trauma Level 1 and Academic Teaching facility.
Background in multi-specialty Physician services.
An approved American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) coding credential.

Responsibilities

Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines and coding conventions.
Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
Analyzes medical records and identifies documentation deficiencies.
Reviews and verifies documentation supports existing diagnoses, procedures and other charges.
Identifies reportable elements, complications, and other quality measures.
Communicates with physicians to clarify information via the physician query process.
Assign CPT, HCPCS and ICD-10-CM codes.
Focused background on Profee Coding and E/M guidelines (95/97, 2021 update)
Knowledge of and ability to address National Correct Coding Initiative (NCCI) and National Coverage Determinations (NCD) / Local coverage determinations (LCD) edits.
Maintains required productivity and quality requirements,
Other duties and/or projects as assigned.
Adheres to HMH Organizational competencies and standards of behavior.