Specialty Coder - PHYS

Responsibilities

• Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical diagnostic and complex procedural information for various medical and surgical subspecialties for the correct ICD-10, CPT, Modifiers and/or HCPCS codes to the greatest specificity.
• Abstracts demographic and coding information into the information system accurately and completely.
• Reviews documentation for medical necessity.
• Audits orders and claims before submission for entirety and accuracy and to minimize claim denials.
• Assesses records and prepares reports.
• Provides technical guidance to physicians and other departmental staff in identifying and resolving issues or errors.
• Develops effective working relationship with physicians and other stakeholders.
• Primary coding responsibility is complex procedural and surgery coding.

Qualifications

• H.S. Diploma or General Education Degree (GED) Required.
• Coding Certificate program (AAPC accredited) Preferred.
• 3 years of coding experience for Interventional Radiology, Cardiology, EP and Cardiothoracic specialties Required.
• Experience coding across multiple specialties and remote coding experience is Preferred.

Certifications

• One or more of the following certifications Upon Hire Required: RHIA - Registered Health Information Administrator, RHIT - Registered Health Information Technician, CCA - Certified Coding Associate, CPC, CPC-A, or CPC-H, CCS, or CCS-P.
• Cardiology Specialties: Cardiothoracic, Interventional, EP, and Cardiovascular Surgery coding/certification Preferred.
• Transplant Surgery coding/certification Preferred.
• Neurosurgery Surgery coding/certification Preferred.