Position Summary
Certified Professional Coder provides quality review and analysis of a wide range of patient medical records, ensure accuracy of coding, and maintain records in accordance with accepted medical and legal standards. Responsible for reviewing medical records to assure proper billing of the medical record, comparison of physician chosen CPT and ICD-10 codes to the physician’s documentation to substantiate the level of coding, and complete review of medical records to accurately optimize all professional services documented for billing.
Responsibilities
Verifies patient demographic data for accuracy and completeness
Performs audit of services on a daily basis for accuracy
Evaluates designated medical records to identify diagnoses, operations and procedures, and accurately assigns and sequences ICD-10 and/or CPT codes
Reviews the accuracy and consistency of medical record documentation and brings any inconsistencies to the attention of the appropriate individual
Achieves and meets expectation rating on coding audits
Sequence codes appropriately for accurate billing
Communicates effectively with SPG workforce about coding issues, and resolves any discrepancies in accordance with applicable guidelines
Assists with responding to audits and/or data requests as necessary
Assists with Revenue Cycle Manager and/or Supervisor to resolve coding edits as needed
Keeps current in area of expertise and assures that standards and practices within the site reflect best practice in coding
Recognizes and performs duties which need to be performed although not directly assigned
Qualifications
CPC, CCS, RHIT or RHIA preferred
Knowledge of medical terminology, anatomy and physiology, medical insurance, and medical practice services and routines
Previous experience in EMR, Athena preferred
Coding experience of one year or more
Salary Range (Based on Experience)
$24.09 - $ 32.46
Why Join Us?
At Shore Physicians Group, we work hard and take pride in accomplishing our mission statement of “Treating People Well”. We are looking for employees who strive to be the best in their field and enjoy exchanging knowledge in an interactive environment.
Shore Physicians Group offers a professional, enjoyable work environment, and generous benefits including:
401(k)
401(k) matching
Medical/Dental/Vision insurance
Life insurance
Paid time off
Tuition reimbursement
Certification reimbursement
Referral incentive program
Local community employee discounts
Free Parking
Additional Information
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required.
This job description should not be construed as an exhaustive statement of duties, responsibilities or requirements, but a general description of the job. Nothing contained herein restricts the company’s rights to assign or reassign duties and responsibilities to this job at any time.
Shore Physicians Group is an Equal Opportunity Employer.All applicants will receive consideration for employment without regard to sex, affectional or sexual orientation, gender, gender identity, orientation or expression; marital status, domestic partnership status, civil union status, pregnancy, race, creed, ancestry, color, ethnicity, national origin, age, disability, religion, genetic information, or veteran status or any other basis prohibited by law.
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