Professional Physician Coder

Professional Fee Billing, United StatesHybridFull-timePosted 2w ago

Job description

Administrative Support

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The Professional Physician Coder accurately and efficiently accesses wide range physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. This role is an entry level professional physician coding role.

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 (i.e., 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 organization's policies, the ADA, FMLA and other federal, state, and local standards.
Performs other duties as assigned.

Education:

Required: High school diploma or equivalent; Computer/typing literacy, knowledge of Anatomy, Physiology and Medical terminology required.
Preferred: Associate degree preferably with Medical Office Billing.

Experience:

Required: Entry level physician certified coding experience in professional or physician practice coding.
Preferred: Prior physician practice experience is highly desirable.

Licensure/Certification/Listing:

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.

Work Shift :

Days/No Weekends (United States of America)

On Call Required

FTE:

Job Type:

Full Time (40 Hours/Week)

Job details are sourced from the employer's original posting.

Open job posting

About the company

Cone Health

Recognized for Excellence in Neurology Moses H. Cone Memorial Hospital ranks in the top 10 percent of the nation for medical excellence in neurological care, according to CareChex . That means you can trust us to provide advanced inpatient services, protect patient safety, and offer care with lower-than-average rates of complications. Cone Health has been named a Blue Distinction Center+ for Spine Surgery by Blue Cross and Blue Shield of North Carolina (BCBSNC). Hospitals with this designation demonstrate expertise in cervical and lumbar fusion, cervical laminectomy and lumbar laminectomy/discectomy procedures, resulting in fewer patient complications and hospital readmissions compared to other hospitals. Our outstanding services include stroke care at Moses Cone Hospital and other Cone Health facilities, which have earned numerous recognitions for helping stroke patients achieve better-than-average outcomes.

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Industry: Healthcare
Open roles: 702