Offer summary

Qualifications:

High school diploma or equivalent required., Knowledge of Anatomy, Physiology, and Medical terminology is essential., Thorough knowledge of CPT and ICD coding with a minimum coding skills test score of 80%., Certification as a 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 assist with patient account follow-ups.

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

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

Required profile