Physician Office Coder, Medical Records (Remote Candidates Considered)

Cape Cod Healthcare • Hyannis, MA

67d

About The Position

The position involves reviewing all medical record documentation to determine and assign diagnoses, procedures, level codes, and modifiers. The coder must demonstrate a complete understanding of coding rules, anatomy, physiology, and medical terminology to appropriately code patient information. Utilizing CPT and ICD-10 books is essential to clarify physicians/extender code designation, ensuring appropriate coding for Provider RVU assignment and billing of services provided. The coder is responsible for accurately attaching all ICD-10 codes to the appropriate CPT codes, requesting clarification from physicians when information is incomplete, and adding appropriate modifiers for expected reimbursement based on assigned diagnosis, procedure, and level codes. Daily posting of ICD-10, CPT, and HCPCS charges, as well as patient demographic information into billing systems, is required, using physician/extender provided information on encounter/super bills. The coder must assess the adequacy of documentation, query providers and physicians for additional medical record documentation, and maintain a 95% ongoing accuracy rate. Consistent achievement of daily coding output within minimal productivity standards set by management is expected, along with maintaining accurate productivity logs and managing workflow to achieve timely submission of claims. The coder will work with the Revenue Cycle and Medical Records Department to resolve billing issues and questions, review and edit claims in CCH organization software programs, and assume professional responsibility for skill development and ongoing education to maintain certification. Providing backup Physician Office Coder coverage as designated by management and consistently delivering service excellence to all patients, family members, visitors, volunteers, and co-workers is also part of the role.

Requirements

• Ability to read, write and communicate in English.
• High School graduate or GED.
• Basic Computer skills.
• Active CPC (AAPC Certified Professional Coder) or CCS (AHIMA Certified Coding Specialist) or must meet CPC Certification eligibility requirements and must obtain CPC certification within 3 months of the position.
• Minimum 1 year of professional coding experience preferred.
• Comprehensive understanding of ICD-10 and CPT coding.
• Successful passage of the Coding exam, demonstrating understanding of coding and its impact on reimbursement.
• Demonstrated ability to create strong working relationships with physicians and practices.
• Capable of working independently as well as within a team environment.

Responsibilities

• Reviews all medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers.
• Demonstrates complete understanding of coding rules, anatomy, physiology, and medical terminology to appropriately code patient information.
• Utilizes CPT and ICD-10 books to clarify physicians/extender code designation to ensure appropriate coding for Provider RVU assignment and appropriate billing of services provided.
• Accurately attaches all ICD-10 codes to the appropriate CPT codes and requests clarification from physicians when information is incomplete.
• Adds appropriate modifiers for expected reimbursement based on assigned diagnosis, procedure and level codes and reimbursement classifications.
• Posts daily ICD-10 CPT, and HCPCS charges as well as patient demographic information into billing system(s).
• Assesses adequacy of documentation, and queries providers and physicians to obtain additional medical record documentation or to clarify documentation.
• Maintains a 95% ongoing accuracy rate.
• Consistently achieves daily coding output within the minimal productivity standards set by management.
• Maintains accurate productivity logs, self manages and prioritizes workflow to achieve timely submission of claims.
• Provides management timely updates.
• Works with Revenue Cycle and Medical Records Department to resolve billing issues and questions.
• Reviews and edits claims in CCH organization software programs, to assist billing dept in claim processing.
• Assumes professional responsibility for development of skills and ongoing education to maintain certification.
• Provides back up Physician Office Coder coverage as designated by management.
• Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers.
• Performs other work-related duties as assigned.

What This Job Offers

• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees