Professional Physician Coder

About the role

The Professional Physician Coder accesses physician billing and Health Information Systems to gather records and code professional physician and/or physician extender services. This is an entry‑level professional physician coding role.

Responsibilities

• Review medical records and code physician services utilizing current ICD‑10, CPT and HCPCS classification systems.
• Code diagnosis, co‑morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with ICD‑10, CPT, HCPCS (all levels).
• Assist the Central Business Office to ensure appropriate and complete follow‑up of patient accounts to maximize reimbursement (e.g., insurance denials).
• Notify Team Lead, Manager, and/or Compliance department of any compliance violations discovered during the review process.
• Communicate effectively with physicians, physician extenders, physician offices, members of the coding team and manager.
• Utilize resource material available in the department to support accurate coding practices.
• Maintain patient confidentiality.
• Maintain reasonably regular, punctual attendance consistent with the organization's policies, the ADA, FMLA and other federal, state, and local standards.
• Perform other duties as assigned.

Requirements

• Education: High school diploma or equivalent; computer/typing literacy; knowledge of anatomy, physiology and medical terminology required. Associate degree preferably with Medical Office Billing preferred.
• Experience: Entry‑level physician certified coding experience in professional or physician practice coding required. Prior physician practice experience highly desirable.
• Licensure/Certification: One of the following national certifications required: Certified Professional Coder (CPC) through the American Academy of Professional Coders (CPC‑A minimum); Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA); Certified Coding Specialist‑Physician (CCS‑P) through AHIMA; Certified Medical Coder (CMC) through Practice Management Institute.