Professional Medical Coder I

Yale New Haven Health • New Haven, CT

7d • Remote

About The Position

The Professional Coder I is responsible for a complete review of the medical record documentation and performs a variety of coding related activities for 1 or more specialties. Work may include, but is not limited to: charge review, coding review, prioritizing workload, resolving edits, researching denials, interacting with clinicians verbally and/or in writing, and performing other coding related tasks.

Requirements

• Requires course work, preferably college level, in anatomy and physiology, medical terminology, pathophysiology, and disease process.
• Requires a minimum of 2 years of professional coding experience.
• CPC or CCS-P credential required or another professional coding designation through the Academy of Professional Coders (AAPC). CPC-As are not acceptable in this level of position.
• Comprehensive knowledge of anatomy/physiology, medical terminology, ICD-10-CM, and CPT coding with the ability to acclimate and apply knowledge in a fast-paced virtual coding environment.
• Must possess excellent communications skills orally and in writing, strong critical thinking and reasoning skills, in addition to time management skills.
• Must be able to perform functions independently and under limited supervision.

Nice To Haves

• Bachelors degree preferred.
• Knowledge of professional E/M leveling preferred.

Responsibilities

• Reviews medical record documentation to determine appropriate ICD-10-CM codes for work identified for a coding review in accordance with official coding guidelines.
• Reviews medical record documentation and reviews clinician charging to accurately select and/or validate the appropriate CPT codes and modifiers in accordance with official coding guidelines. This includes resolving coding edits, as applicable.
• Maintains a minimum of 95% overall coding quality score in work that qualifies for a coding review in diagnostic, procedural, modifier code selection and other applicable fields.
• Maintains the productivity expectations as defined by the department for the coding service line.
• Participates and seeks out career development activities by reading journals, coding articles, researching procedures and/or disease processes to ensure appropriate code selection, regularly attends coding education sessions, and actively participates in learning circles.
• Reviews specialty specific denials and consults research needed to resolve.
• Completes other coding related roles and responsibilities as assigned by the department manager.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree