Inpatient Professional Fee, Profee Medical Coder

About You

You are passionate about accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10-PCS, Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers, and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. We are looking for someone who:

• Is a team player and self-motivator
• Conducts business in a way that reflects credit on the company
• Manages multiple projects using problem-solving skills
• Values professionalism, trust, honesty, and integrity
• Is highly committed and team-oriented

Tell us what makes you uncommon and why you would be a great fit for this role.

Responsibilities

• Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation in the medical record utilizing knowledge of anatomy, physiology, medical terminology, and pathology.
• Review the discharge summary, history and physical, physician progress notes, consultation reports, radiology, laboratory, pathology, operative records, and emergency room record to accurately assign diagnosis and/or procedure codes.
• Determine diagnoses that were treated, monitored, and evaluated and procedures done during the episode of care and assign appropriate codes.
• Assign and ensure correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations.
• Ensure the diagnoses and procedures are sequenced in order of their clinical significance to accurately assign the appropriate DRG, APC, or payment tier under the Prospective Payment system to guarantee accurate reimbursement.
• Review coding for accuracy and completeness prior to submission to billing.
• Abstract required medical and demographic information from the medical record and enter the data into the system to ensure accuracy of the database.
• Correct any data found to be in error after reviewing the medical record and comparing with system entries.
• Ensure all required component parts of the medical record that pertain to coding are present, accurate, and comply with CMS, JCAHO, and client requirements.
• Identify incomplete or conflicting documentation in the medical record and formulate physician queries to obtain missing documentation and/or clarification to accurately complete the coding process.
• Utilize computer applications and resources essential to completing the coding process efficiently.
• Meet coding quality and quantity expectations.

Requirements

• Minimum 2 years of Medical Coding experience required
• Experience with Professional Fee Coding
• Experience with EHR systems

Qualifications

Accepted certifications from American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) include:

• Registered Health Information Management Technician (RHIT)
• Registered Health Information Administrator (RHIA)
• Certified Coding Associate (CCA)
• Certified Coding Specialist (CCS)
• Certified Coding Specialist-Physician-Based (CCS-P)
• Certified Professional Coder (CPC)

About Us

We are looking for uncommon individuals to help us in our mission of lowering healthcare administrative costs for federal government agencies, payers, and providers. At Signature, our mission is to improve the health of our clients' business and make the lives of the people we work with better. We lead with our values of Passion, Courage, Integrity, and Respect in all interactions, making us a consistent annual Best Places to Work organization.

Benefits

• Health Insurance
• Fully Paid Life Insurance
• Fully Paid Short- & Long-Term Disability
• Paid Vacation
• Paid Sick Leave
• Paid Holidays
• Professional Development and Tuition Assistance Program
• 401(k) Program with Employer Match