Specialty Coder - PHYS
Needs at least three years of surgical coding experience, with orthopedic or any specialty surgical coding experience.
Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical diagnostic and complex procedural information for various medical and surgical subspecialties for the correct ICD-10, CPT, Modifiers and/or HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for entirety and accuracy and to minimize claim denials. Assesses records and prepares reports. Provides technical guidance to physicians and other departmental staff in identifying and resolving issues or errors. Develops effective working relationship with physicians and other stakeholders. Primary coding responsibility is complex procedural and surgery coding.
Responsibilities: Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical diagnostic and complex procedural information for various medical and surgical subspecialties for the correct ICD-10, CPT, Modifiers and/or HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for entirety and accuracy and to minimize claim denials. Assesses records and prepares reports. Provides technical guidance to physicians and other departmental staff in identifying and resolving issues or errors. Develops effective working relationship with physicians and other stakeholders. Primary coding responsibility is complex procedural and surgery coding. Qualifications: Education- H.S. Diploma or General Education Degree (GED) Required
- Coding Certificate program (AAPC accredited ) Preferred
- 3 years of coding experience for Interventional Radiology, Cardiology, EP and Cardiothoracic specialties Required
- Experience coding across multiple specialties and remote coding experience is Preferred
- One or more of the following certifications Upon Hire Required
- RHIA - Registered Health Information Administrator or
- RHIT - Registered Health Information Technician or
- CCA - Certified Coding Associate or
- CPC, CPC-A, or CPC-H or
- CCS or CCS-P
- Cardiology Specialties: Cardiothoracic, Interventional, EP, and Cardiovascular Surgery coding/certification Preferred
- Transplant Surgery coding/certification Preferred
- Neurosurgery Surgery coding/certification Preferred