Physician Practice Coder - Remote
Company: Boston Medical Center
Location: Florissant
Posted on: June 21, 2022
Job Description:
POSITION SUMMARY: Conducts CPT and ICD-10 coding reviews by
detailed examination of each line item in the physician medical
record and charge session. Performs chart audits to ensure correct
coding and charge capture have been applied appropriately. Works
closely with key revenue cycle stakeholders to understand reasons
for denials, root cause analysis, and feedback to providers.
Position: Physician Practice Coder - Remote Department: Billing
Schedule: Full Time ESSENTIAL DUTIES/RESPONSIBILITIES:
- Reviews patient medical records and abstracts medical data that
identifies all diagnoses and procedures.
- Codes diagnoses, procedures, and appropriate modifiers from the
medical record documentation using ICD-10-CM, CPT4/HCPCS
classification systems.
- Refers to a computerized encoding system, written coding aids
and other reference materials to ensure accurate coding for
billing.
- Sequences diagnoses, procedures and complications by following
ICD-10-CM, CPT-4, and the Uniform Hospital Discharge Data Set
(UHDDS); adheres to the Official Guidelines for Coding and
Reporting, Coding Clinic guidelines and other regulatory guidelines
as appropriate. Consults with the CDCI team to request appropriate
physician or appropriate medical staff to clarify medical record
information.
- Maintains productivity standards set forth in Departmental
Policies and procedures.
- Maintains knowledge of coding and professional skills,
including maintaining yearly coding credentials through attendance
at in-service programs, conferences, workshops, review of current
literature and other educational programs.
- Utilizes hospital's cultural values as the basis for decision
making and to facilitate the hospital's goals and mission.
- Follows established Hospital infection control and safety
procedures.
- Review and respond to coding questions.
- Ensure billed service is being accurately coded.
- Perform random chart audits.
- Provide continual coding updates.
- Research coding issues that arise.
- Codes diagnoses and procedures from the medical record using
ICD-10-CM and CPT-4/HCPCS classification systems.
- Sequences diagnoses, procedures and complications by following
ICD-10-CM, Medicare, Medicaid, and other fiscal intermediary
guidelines.
- Reviews charts for documentation and signature.
- Performs other duties as needed.
- Must adhere to all of BMC's RESPECT behavioral standards.
EDUCATION:
- Associates Degree (or direct work experience equivalent to at
least 2 years) EXPERIENCE:
- 2-5 years experience required in a multi-specialty physician
coding environment to include coding, compliance, and billing
processes. CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED :
- CPC - Certified Professional Coder
- CPC-A - Certified Professional Coder Apprentice KNOWLEDGE AND
SKILLS:
- Work requires in-depth knowledge of medical terminology,
ICD-10-CM and CPT-4 Work also requires basic concepts of human
anatomy, physiology and pathology.
- Strong knowledge of health records, computerized billing and
charging systems, Microsoft applications, data integrity, and
processing techniques required.
- Excellent organizational skills, including ability to
multi-task, prioritize essential tasks, follow-through and meet
timelines.
- Ability to work with accuracy and attention to detail
- Ability to solve problems appropriately using job knowledge and
current policies/procedures.
- Ability to work cooperatively with members of the healthcare
delivery team and staff, ability to handle frequent interruptions
and adapt to changes in workload and work schedule and to respond
quickly to urgent requests.
- Must be able to maintain strict confidentiality of all
personal/health sensitive information and ensure compliance of
HIPAA rules and regulations.
Keywords: Boston Medical Center, Florissant , Physician Practice Coder - Remote, Healthcare , Florissant, Missouri
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