Profee & Facility Coder - Emergency Medicine

Brault•San Dimas, CA

1d•$23 - $27

About The Position

Under general supervision, the Profee & Facility Coder applies appropriate CPT and ICD-10 codes to individual patient medical records, reviews documentation to determine correct code assignment, and provides physicians with feedback on documentation improvement opportunities. Assigned codes support physician reimbursement and a statistical database used for organizational planning and regulatory reporting. The role codes emergency medicine records for billing, follows company policies and applicable government regulations and payer requirements, and contributes to accurate, timely workflow completion. The coder also supports quality assurance, peer review, documentation queries, and coverage of other client datasets as needed.

Requirements

Complete a defined training program resulting in a CPC or CCS-P credential from an accredited institution such as AAPC or AHIMA.
Credentialed coders must have at least three years of experience in evaluation and management and CPT coding.
Demonstrate extensive knowledge of disease entities and processes, medical terminology, anatomy, physiology, medication purposes and administration, and common medical procedures.
Demonstrate analytical skills and the ability to translate documentation from different parts of a medical record into specific codes.
Work at a fast pace while maintaining concentration and accuracy.
Effectively and tactfully communicate the relationship between coding and documentation with physicians.
Maintain high coding quality and productivity standards.
Work independently with minimal supervision, under pressure, and to deadlines.
Have computer keyboarding skills and experience with Microsoft Office.
Demonstrate an excellent understanding of ethical coding, reimbursement, and documentation compliance.
Have experience with electronic health record systems, coding and billing platforms, and Microsoft Office applications.

Nice To Haves

Background in emergency department, urgent care, ICU, and/or hospitalist coding.

Responsibilities

Analyze medical record documentation and assign appropriate CPT evaluation and management and procedure codes, as well as ICD-10 diagnosis codes, for billing purposes.
Complete assigned coding functions daily and distribute coded charts to the next workflow step according to company policies and departmental protocols.
Review documentation for opportunities to improve physician documentation and reimbursement.
Complete documentation deficiency tracking forms and incomplete documentation forms used to query physicians.
Identify non-billable or missing accounts and promptly escalate incomplete, missing, unbillable, clerical-error, or late-chart issues.
Code a minimum of 135–150 charts per day (18–20 per hour) with at least 96% accuracy.
Deliver work within one business day of it becoming available and ensure on-time coder close for each client.
Communicate workflow variations and escalate issues that interfere with daily coding or month-end close.
Complete timecards and production records daily.
Participate in quality assurance and peer review activities as assigned.
Attend departmental and company meetings.
Maintain current knowledge of CMS regulations, ICD-10-CM guidelines, CPT coding standards, and company coding policies.
Assign appropriate modifiers, apply rules for surgical packages, and code other medical services such as X-rays and EKGs.
Ensure coding and billing are supported by medical record documentation and comply with applicable laws, regulations, company guidelines, and the OIG coding compliance work plan.
Ensure coded data accurately and reliably reflects the treatment provided and that patient discharge status is complete and accurate.
Communicate respectfully and clearly, maintain confidentiality of sensitive information, and provide quality service.
Follow company policies and procedures, practice safe work habits, and adhere to good business standards and practices.
Provide coverage for datasets other than the primary client when needed, including during vacation or sick leave.
Perform other related duties as requested by the manager and participate in in-services and continuing education.