Specialty Coder - PHYS

Piedmont Healthcare•Atlanta, GA

About The Position

At Piedmont Healthcare, the Specialty Coder reviews, analyzes, and codes medical record documentation, including medical diagnostic and complex procedural information across medical and surgical subspecialties. The position assigns ICD-10, CPT, modifier, and/or HCPCS codes to the greatest specificity and accurately abstracts demographic and coding information into the information system. The role reviews documentation for medical necessity, audits orders and claims before submission for completeness and accuracy to help minimize denials, assesses records, and prepares reports. It also provides technical guidance to physicians and departmental staff to identify and resolve issues or errors, and develops effective working relationships with physicians and other stakeholders. The primary coding responsibility is complex procedural and surgery coding.

Requirements

  • High school diploma or General Education Degree (GED).
  • One or more of the following certifications required upon hire: RHIA, RHIT, CCA, CPC, CPC-A, CPC-H, CCS, or CCS-P.
  • Three years of professional coding experience across multiple physician specialties, including specialties such as Radiology, Surgery, Cardiology, Orthopedics, Neurology, Hospital Medicine, Internal Medicine, Behavioral Health, Pediatrics, Women's Services, Oncology, Gastroenterology, and Urology.

Nice To Haves

  • AAPC-accredited coding certificate program.
  • Experience coding across multiple specialties and remote coding experience.
  • Cardiology specialties coding or certification, including Cardiothoracic, Interventional, EP, and Cardiovascular Surgery.
  • Transplant Surgery coding or certification.
  • Neurosurgery coding or certification.

Responsibilities

  • Review, analyze, and code medical record documentation for diagnostic and complex procedural information across medical and surgical subspecialties.
  • Assign ICD-10, CPT, modifier, and/or HCPCS codes to the greatest specificity.
  • Accurately and completely abstract demographic and coding information into the information system.
  • Review documentation for medical necessity.
  • Audit orders and claims before submission for completeness and accuracy and to minimize claim denials.
  • Assess records and prepare reports.
  • Provide technical guidance to physicians and other departmental staff in identifying and resolving issues or errors.
  • Develop effective working relationships with physicians and other stakeholders.
  • Perform complex procedural and surgery coding as the primary coding responsibility.

Benefits

  • Wellness programs
  • Comprehensive total benefits and rewards
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