Physician Practice Coder - Remote

BMC Software

7d•$24 - $34•Remote

About The Position

The Physician Practice Coder conducts CPT and ICD-10 coding reviews by examining each line item in physician medical records and charge sessions. The role performs chart audits to verify accurate coding and charge capture, and works with revenue cycle stakeholders to understand denials, analyze root causes, and provide feedback to providers. The coder reviews records and abstracts diagnoses and procedures; assigns and sequences codes and modifiers using applicable classification systems and guidelines; researches coding questions; and checks charts for documentation and signatures. The position also maintains coding knowledge and credentials, meets departmental productivity standards, follows safety and infection-control procedures, and adheres to BMC’s RESPECT behavioral standards. This is a full-time remote position in the BUMG Corporate PBO General department.

Requirements

Associate degree, or direct work experience equivalent to at least two years.
CPC (Certified Professional Coder) or CPC-A (Certified Professional Coder Apprentice) credential.
2–5 years of experience in a multi-specialty physician coding environment, including coding, compliance, and billing processes.
In-depth knowledge of medical terminology, ICD-10-CM, and CPT-4.
Basic knowledge of human anatomy, physiology, and pathology.
Strong knowledge of health records, computerized billing and charging systems, Microsoft applications, data integrity, and processing techniques.
Excellent organization, multitasking, prioritization, follow-through, and time-management skills.
Accuracy and attention to detail.
Problem-solving ability using job knowledge and current policies and procedures.
Ability to work cooperatively with healthcare delivery team members and staff, handle frequent interruptions, adapt to workload and schedule changes, and respond quickly to urgent requests.
Ability to maintain confidentiality of personal and health-sensitive information and comply with HIPAA rules and regulations.

Responsibilities

Review patient medical records and abstract medical data identifying diagnoses and procedures.
Code diagnoses, procedures, and appropriate modifiers from documentation using ICD-10-CM, CPT-4, and HCPCS systems.
Use computerized encoding systems, written coding aids, and reference materials to support accurate coding for billing.
Sequence diagnoses, procedures, and complications according to applicable coding standards and guidelines.
Follow Official Guidelines for Coding and Reporting, Coding Clinic guidance, and other regulatory requirements.
Consult the CDCI team to request clarification from an appropriate physician or medical staff member when medical record information requires clarification.
Maintain departmental productivity standards.
Maintain coding knowledge and professional skills, including yearly credentials through educational activities.
Review and respond to coding questions; research coding issues and provide coding updates.
Ensure billed services are accurately coded and perform random chart audits.
Review charts for documentation and signatures.
Follow hospital infection-control and safety procedures and use hospital cultural values to support its goals and mission.
Perform other duties as needed and adhere to BMC’s RESPECT behavioral standards.