Coder – Professionals are responsible for professional coding, including the assignment of ICD‑CM, CPT, and HCPCS codes, modifiers, and evaluation and management (E/M) codes. The role involves provider audits.
Department: Physician Coding
Hours: FT, 40 hours/week
Remote Work: Shift: 1st shift
Required: High School Diploma, Certified Professional Coder
Responsibilities Analyze and confirm assigned encounters for provider’s selection of EM code level utilizing the EM code level selection auditing tool.
Assist physicians with record documentation needs by requesting clarification for additional information.
Assist in educating physicians and ancillary staff members about documentation required for the coding process.
Contact physician offices and/or SBL departments as needed for diagnostic information to code the encounter.
Assist with training new coding staff as requested.
Code all types of encounters as assigned and assist coworkers as needed.
Code and resolve clinic, hospitalist, ED, and applicable ancillary services professional encounters based on established production standards.
Ensure data quality and optimum reimbursement allowable under federal and state payment systems.
Meet quality standards by ensuring 95% of diagnoses and procedures are appropriately and/or correctly coded.
Perform follow‑up on encounters that need to be coded and resolved.
Review and correct all encounters that are rejected or denied.
Review records thoroughly to ascertain all diagnoses/procedures.
Code all diagnoses/procedures in accordance with ICD‑CM and CPT coding principles, official guidelines and regulations.
Qualifications High School Diploma (Required)
CCA – Certified Coding Associate – American Health Information Management Association
CCS – Certified Coding Specialist – American Health Information Management Association
Certified Evaluation & Management Auditor – Sarah Bush Lincoln
Certified Professional Coder‑A – Sarah Bush Lincoln
Certified Professional Coder – Sarah Bush Lincoln
Registered Health Information Technician (RHIT) – American Health Information Management Association
Registered Health Info Administrator (RHIA) – American Health Information Management Association
Compensation: Estimated range $22.72 – $35.22 per hour, based on experience.
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