Company
PhysicianPracticeCoder
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Physician Practice Coder. Skills: CPT coding, ICD-10 coding, chart audits, medical record review, charge capture. Conducts CPT and ICD-10 coding reviews by detailed examination of each line item in the physician medical record and charge session.. Performs chart audits to ensure correct coding and charge capture have been applied appropriately.”
What You'll Achieve.
ensure correct coding and charge capture have been applied appropriately; ensure accurate coding for billing; Maintains productivity standards; Ensure billed service is being accurately coded.
Industry & Context.
root cause analysis; Ability to solve problems appropriately using job knowledge and current policies/procedures.
Must be able to maintain strict confidentiality of all personal/health sensitive information
What They're Looking For.
Must Have
Associate's degree (or direct work experience equivalent to at least 2 years), CPC – Certified Professional Coder, CPC-A – Certified Professional Coder Apprentice, 2-5 year's experience required in a multi-specialty physician coding environment to include coding, compliance, and billing processes.
What You'll Do.
Conducts CPT and ICD-10 coding reviews by detailed examination of each line item in the physician medical record and charge session.
Performs chart audits to ensure correct coding and charge capture have been applied appropriately.
Reviews patient medical records and abstracts medical data that identifies all diagnoses and procedures.
and appropriate modifiers from the medical record documentation using ICD-10-CM
CPT4/HCPCS classification systems.
Refers to a computerized encoding system
written coding aids and other reference materials to ensure accurate coding for billing.
procedures and complications by following ICD-10-CM
and the Uniform Hospital Discharge Data Set (UHDDS); adheres to the Official Guidelines for Coding and Reporting
Coding Clinic guidelines and other regulatory guidelines as appropriate.
Consults with the CDCI team to request appropriate physician or appropriate medical staff to clarify medical record information.
Maintains productivity standards set forth in Departmental Policies and procedures.
Maintains knowledge of coding and professional skills
including maintaining yearly coding credentials through attendance at in-service programs
review of current literature and other educational programs.
Utilizes hospital’s cultural values as the basis for decision making and to facilitate the hospital’s goals and mission.
Follows established Hospital infection control and safety procedures.
Review and respond to coding questions.
Ensure billed service is being accurately coded.
Perform random chart audits.
Provide continual coding updates.
Research coding issues that arise.
Codes diagnoses and procedures from the medical record using ICD-10-CM and CPT-4/HCPCS classification systems.
procedures and complications by following ICD-10-CM
and other fiscal intermediary guidelines.
Reviews charts for documentation and signature.
Performs other duties as needed.
How You'll Work.
Team & Collaboration
Works closely with key revenue cycle stakeholders to understand reasons for denials, root cause analysis, and feedback to providers.; Consults with the CDCI team to request appropriate physician or appropriate medical staff to clarify medical record information.; Ability to work cooperatively with members of the healthcare delivery team and staff
Communication Scope
feedback to providers; Review and respond to coding questions.
Full Job Description
**POSITION SUMMARY:** Conducts CPT and ICD-10 coding reviews by detailed examination of each line item in the physician medical record and charge session. Performs chart audits to ensure correct coding and charge capture have been applied appropriately. Works closely with key revenue cycle stakeholders to understand reasons for denials, root cause analysis, and feedback to providers. **Position: Physician Practice Coder** **Department: BUMG Corporate PBO** **Schedule: 40 hours** **ESSENTIAL RESPONSIBILITIES / DUTIES:** * Reviews patient medical records and abstracts medical data that identifies all diagnoses and procedures. Codes diagnoses, procedures, and appropriate modifiers from the medical record documentation using ICD-10-CM, CPT4/HCPCS classification systems. Refers to a computerized encoding system, written coding aids and other reference materials to ensure accurate coding for billing. * Sequences diagnoses, procedures and complications by following ICD-10-CM, CPT-4, and the Uniform Hospital Discharge Data Set (UHDDS); adheres to the Official Guidelines for Coding and Reporting, Coding Clinic guidelines and other regulatory guidelines as appropriate. Consults with the CDCI team to request appropriate physician or appropriate medical staff to clarify medical record information. * Maintains productivity standards set forth in Departmental Policies and procedures. * Maintains knowledge of coding and professional skills, including maintaining yearly coding credentials through attendance at in-service programs, conferences, workshops, review of current literature and other educational programs. * Utilizes hospital’s cultural values as the basis for decision making and to facilitate the hospital’s goals and mission. * Follows established Hospital infection control and safety procedures. * Review and respond to coding questions. * Ensure billed service is being accurately coded. * Perform random chart audits. * Provide continual coding updates. * Research coding i
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