CWH Professional Physician Coder
Essential Job Function
- Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems.
- Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS–all levels).
- Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (ie, Insurance Denials).
- Notifies Team Lead, Manager, and/or Compliance department of any compliance violations that are discovered during the review process.
- Communicates effectively with physicians, physician extenders, physician offices, members of the coding team and manager.
- Utilizes resource material available in department to support accurate coding practices.
- Maintains patient confidentiality.
- Maintains reasonably regular, punctual attendance consistent with the organizations policies, the ADA, FMLA and other federal, state, and local standards.
- Performs other duties as assigned.
- Required: High school diploma or equivalent; Computer/typing literacy, knowledge of Anatomy, Physiology and Medical terminology requiredPreferred: Associate degree preferably with Medical Office Billing
- Required: Entry level physician certified coding experience in professional or physician practice coding. Preferred: Prior physician practice experience is highly desirable.
- Required: One of the following national certifications: Certified Professional Coder (CPC) through the American Academy of Professional Coders. CPC-A is a minimum requirement. Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA). Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA). Certified Medical Coder (CMC) through Practice Management Institute.
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