Offer summary

Qualifications:

High school diploma or equivalent required., Knowledge of Anatomy, Physiology, and Medical terminology is essential., Must have thorough knowledge of CPT and ICD coding with a minimum coding skills test score of 80%., National certification in coding (CPC, CCS, CCS-P, CCA, or CMC) is required. .

Key responsabilities:

Review medical records and code physician services using ICD-10, CPT, and HCPCS systems.

Verify billable physician services by ensuring documentation adheres to federal guidelines.

Collaborate with specialty team members to monitor financial goals and maximize reimbursement.

Communicate effectively with physicians and coding team members regarding documentation and coding issues.

Job description

Position Summary:

Accurately and efficiently accesses wide range specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services.

Fully remote in FL, GA, AZ, TX, AL and NC

Responsibilities:

• Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems.
• Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and
drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing
Administration Common Procedure Coding Systems (HCPCS–all levels)
• Verifies billable physician services by reviewing physician documentation for adherence to the “Physician at Teaching
Hospital” rules set forth by the federal government.
• Submits to their Senior Coder any issues or trends found within the documentation of a particular healthcare provider for
evaluation and follow up.
• Collaborates with members of the specialty team to consistently monitor financial goals within their specialty to satisfy
corporate goals.
• Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize
reimbursement (i.e., Insurance Denials)
• Communicates effectively with physicians, physician extenders, physician offices, members of the coding team and
manager.

Qualifications:

Education/Training
• High school diploma or equivalent.
• Computer/typing literacy, knowledge of Anatomy, Physiology and Medical terminology required.
• Thorough knowledge of CPT, ICD coding as evidenced by results of coding skills test of 80% or better.

Licensure/Certification
One of the following national certifications:
• Certified Professional Coder (CPC) through the American Academy of Professional Coders
• Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA)
• Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA)
• Certified Coding Associate (CCA) through the American Health Information Management Association (AHIMA)
• Certified Medical Coder (CMC) through Practice Management Institute

Experience
• Three (3) years certified coding experience in professional or physician practice coding.
• Proficiency in multi-specialty E/M coding along with minor bedside procedure coding is preferred
o Knowledge of surgical coding is desired

* Denials and Surgery coding experience preferred

Required profile