Perspective
Coder-PhysicianBilling
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Coder- Physician Billing at Perspective. Skills: Coding, Medical Terminology, Reimbursement Regulations. Apply ICD-10-CM/PCS and CPT codes. Navigate patient health record and systems”
What You'll Achieve.
Consistently meets coding quality and productivity standards
Industry & Context.
analytical abilities and problem-solving skills; Provide resolution to moderate to complex problems
What They're Looking For.
Must Have
1 year of experience in outpatient or inpatient coding, High School Diploma, GED or equivalent or appropriate work experience, Working knowledge of medical terminology, anatomy and physiology, diagnostic and procedural coding and MS-DRG or APC grouping and components of charge description master for charging functions and understanding when to use the appropriate modifiers, Knowledge of third-party reimbursement regulations and billing practices, Experience utilizing encoding/grouping software, Ability to use standard desktop and windows-based computer system, including basic understanding of email, internet, and computer navigation, High ethical standards, Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG and APC coding principles and guidelines, Knowledge of Prospective Payment System (PPS) methodology for inpatient, outpatient, ambulatory and provider-based clinic encounters, Knowledge of hospital and professional coding including provider-based billing, Knowledge of documentation regulations of Joint Commission and CMS, Knowledge of privacy and security regulations, confidentiality, laws, access and release of information practices, analytical abilities and problem-solving skills, Excellent oral, written and interpersonal communication skills, Ability to organize and set priorities to ensure objectives are met in a timely manner, Ability to adapt to change and handle challenges proactively and with pose, Ability to effectively collaborate with physicians and managerial staff at all levels
Nice to Have
coding experience in Hematology/Oncology, Certified Professional Coder from the American Academy of Professional Coders (AAPC), Certified Outpatient Coder from the American Academy of Professional Coders (AAPC), Certified Inpatient Coder from the American Academy of Professional Coders (AAPC), Certified Professional Coder – Payer from the American Academy of Professional Coders (AAPC), Certified Risk Adjustment Coder from the American Academy of Professional Coders (AAPC), Certified Coding Associate from the Commission on Certification for Health Informatics and Information Management (CCHIIM)- AHIMA, Registered Health Information Technician from the Commission on Certification for Health Informatics and Information Management (CCHIIM), Certified Coding Specialist from the Commission on Certification for Health Informatics and Information Management (CCHIIM)
What You'll Do.
Apply ICD-10-CM/PCS and CPT codes
Navigate patient health record and systems
Validate charges with documentation
Communicate documentation issues
Identify and notify leadership of concerns
Track issues for timely coding
Meet coding quality standards
Adhere to confidentiality requirements
Maintain knowledge of coding guidelines
Perform other duties as assigned
How You'll Work.
Team & Collaboration
Communicate effectively with clinical staff, physicians and office staff; Collaborate with Clinical Documentation Improvement Specialist; Collaborate with physicians and managerial staff
Communication Scope
Excellent oral, written and interpersonal communication skills
Full Job Description
Your job is more than a job The Coding Specialist I will be responsible applying the appropriate ICD-10-CM/PCS and CPT (charging) diagnostic and procedural codes for outpatient and/or inpatient encounters, ancillary encounters ambulatory/ provider-based clinics. **Your Everyday** * Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs, APCs, CPT/HCPCs assignment and all required modifiers. * Validates charges by comparing charges with health record documentation as necessary. * Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding. * Identifies concerns and notifies appropriate leadership for resolution. Responsible for providing resolution to moderate to complex problems. * Tracks issues (i.e. missing documentation, charges and physician queries) that require follow-up to facilitate coding in a timely fashion. * Consistently meets coding quality and productivity standards established by coding department. * Adheres to LCMC confidentiality requirements as they relate to release of any individual or aggregate patient information. * Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations. * Performs other duties as assigned by leadership. * Maintains working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior. **The Must-Haves** **Minimum:** **_EXPERIENCE QUALIFICATIONS_** 1 year of experience in outpatient or inpatient coding is required. Preferred Experience: coding experience in Hematology/Oncology ** _EDUCATION QUALIFICATIONS_** High School Diploma, GED or equivalent or a
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