Demonstrates through behavior Decatur Morgan Hospital's mission, vision and values.
The Certified Professional Coder Lead is responsible for accurate coding assignments of services performed in a medical office setting, hospital setting or outpatient surgical setting for physician and non-physician providers professional fees. Based upon the provider documentation as well as other supporting clinical documentation/reports where acceptable and appropriate the lead coder using their training, expertise and software tools will assign/confirm diagnoses and procedures as indicated in the patient medical record. Classification systems include Current ICD-10-CM and current CPT edition, current HCPCS Level II and all coding is in accordance with official coding guidelines from the American Medical Association and AAPC Codify All work is carried out in accordance with the Decatur Morgan approved policies and procedures.
Education: High School Diploma, GED required. Must have minimum of CPC (Certified Professional Coder) Certification. Additional coder certifications desirable.
Experience: Must possess in-depth knowledge of medical and anatomical terminology, reimbursement principles, EMR, sequencing of diagnoses, and the use of coding software. Prefer a minimum of 1 or more years of active coding within a medical office setting preferably multi-specialty, surgical, OB/GYN other specialties a plus. Ability to communicate fluently with physician and non-physician care providers to question and provide guidance to ensure coding accuracy and compliance. Ability to interact with billing specialists understanding the impact of proper coding on reimbursement and denials.