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Professional Practice Pathology Coder

2 months ago

Tampa, United States Moffitt Cancer Center Full time
Req # 79514
9/4/2024

Moffitt Cancer Center in Tampa, FL is recruiting for PROFESSIONAL PRACTICE PATHOLOGY CODER. For Florida residents and other select states (AL, AZ, AR, FL, GA, ID, IN, IA, KS, LA, MS, MO, MT, NC, OH, OK, SC, SD, TN, TX, UT, VA, WY) this full-time remote position offers a remote work arrangement.

Position Highlights: The Professional Practice Pathology Coder position is responsible for coding clinical documentation to capture the accurate disease burden of the patient while adhering to ICD-10 CM and CPT-4 coding guidelines and regulations at a state and federal level. This position is responsible for reviewing medical record documentation and assigning accurate ICD-10-CM and CPT codes for services provided by physicians and other qualified healthcare professionals. This position performs coding Anatomic and Clinical Pathology coding services while meeting daily production and quality goals.

Responsibilities:
  • Coding encounters with the proper codes and modifiers for billable professional services utilizing ICD10CM, ICD10PCS, CPT, and HCPCS codes sets in accordance with coding compliant guidelines, federal regulations and accreditation guidelines.
  • Analyzes and review medical record documentation in the medical record for the purpose of assigning code sets to the documentation for submission to insurance payers.
  • Communicates and collaborates with Moffitt Medical Group Providers to ensure accurate documentation and coding of all encounters.
  • Codes for 100% of medical records/encounters for each assigned clinic or encounter type within five working days following discharge with 97% coding accuracy as demonstrated by monthly coding audit.
  • Codes for 100% of medical records/encounters for each assigned clinic or encounter type daily with recommended productivity standard as set forth in the HIM-PPC KPI.
  • Utilize time management to ensure that all codes are audited and correctly entered or added. All edits are resolved timely.
  • Alert coding educator, supervisor, and manager of coding in identifying and analyzing problems or issues that prevent coding of encounters.
  • Knowledge and expertise necessary to perform the query process to clarify and confirm clinic documentation.
  • Maintain Continue Education Units ("CEUs"): For credentials/certifications and education to stay current with all coding and skills to accurately abstract and code medical encounters and records.
  • Assign appropriate Merit-based Incentive Payment System codes in alignment with adopted quality measures. Assign appropriate Patient Relationship Categories and Codes on all encounters to ensure accurate attribution of patients and encounters to Moffitt Medical Group providers. Assign Appropriate Use Criteria codes and modifiers for all Advanced Diagnostic Imaging encounters.

Credentials and Experience:
  • High School Diploma/GED.
  • Two (2) years of health care coding experience with ICD-10-CM, CPT, and HCPCS. classification systems Anatomic and Clinical Pathology.

Required Certification:
  • (CPC) Certified Professional Coder
  • (CCS) Certified Coding Specialist
  • (CPMA) Certified Professional Medical Auditor
  • (COC) Certified Outpatient Coder
  • (CCS-P) Certified Coding Specialist – Physician
  • (RHIT) Registered Health Information Technician
  • (RHIA) Registered Health Information Administrator
  • Any certification not listed above, but issued from one of the approved Governing Bodies listed below, may be considered by the business to satisfy this requirement