Medical Coder

City of Hope is looking for you!  If you have your CPC or CCS-P or CCS, we want to talk to you. Please email Amanda to ask questions, or express interest.  

This role is responsible for following established procedures for the review, classification, and abstraction of clinical data from patients’ medical records regarding diseases, treatment given, and operative procedures for assignment of diagnostic and procedural codes and modifiers. This role abstracts and codes relevant data elements for a certain type of professional fee service area (i.e., Evaluation & Management, major and minor surgical procedure, radiologic service, pathologic service, ancillary service, radiation oncology, and/or infusion charges) for multi-specialty physicians.

As a successful candidate, you will: 

• Reads and interprets medical record documentation to identify all diagnosis, conditions, problems and procedures for Evaluation & Management, surgical procedure, radiologic service, pathologic service, ancillary service, radiation oncology, and/or infusion charges.
• Clarifies conflicting, ambiguous, or non- specific information appearing in a medical record by consulting the appropriate physician. 
• Applies Official ICD-10-CM Guidelines to select first-listed diagnosis, primary procedure, complications, co-morbid conditions, other diagnoses and significant procedures which require coding. 
• Applies knowledge of ICD-10-CM and CPT-4 instructional notations and conventions to locate and assign the correct diagnostic and procedural codes and sequence them correctly.  
• Applies knowledge of anatomy, clinical disease processes, and diagnostic and procedural terminology to assign accurate codes to diagnoses and procedures
• Applies the Basic Coding Guidelines for professional fee physician coding to select and sequence diagnoses, conditions, problems, or other reasons which require coding for professional fee charges. 
• Applies knowledge of CPT-4 coding guidelines and notes to locate the correct codes for all services and procedures performed during the encounter and sequence them correctly. 
• Applies knowledge of government and commercial payer reimbursement guidelines to ensure optimal reimbursement. 

Your qualifications should include: 

• Post High School or equivalent.
• Two years of coding experience of professional fees (physician/medical office). 
• Thorough knowledge of medical terminology/anatomy/ physiology. 
• Comprehensive understanding of professional fee coding principles, including knowledge and proper application of assigning ICD and CPT codes, bundling, and modifiers based on regulatory guidelines.
• Current knowledge, training and experience in ICD-10.
• CPC, CCS-P, or CCS.