Certified Medical Coder

1 week ago


Lexington, Kentucky, United States Phys Financial Full time
Job Opportunity

We are seeking a highly skilled Medical Coder to join our team at Phys Financial LLC, a leading Medical Coding and Billing organization in Lexington, KY. As a key member of our team, you will play a crucial role in accurately assigning diagnoses and procedures for inpatient stays and outpatient encounters.

Key Responsibilities:

  • Review and interpret medical record documentation to identify relevant diagnoses and procedures, and assign appropriate ICD-10, CPT, HCPCS codes and modifiers.
  • Ensure timely and accurate coding, charging, and abstraction of accounts for assigned specialty areas.
  • Stay updated on coding guidelines through participation in seminars and continuous study.
  • Maintain current certification and CEU's.
  • Review and apply payer specific guidelines when coding assigned charts.
  • Review and apply National and Local coverage determination requirements (NCD and LCD) when coding assigned charts.
  • Maintain accuracy and quality in coding to facilitate clean billing.
  • Communicate effectively with physicians to obtain necessary information for accurate coding.
  • Complete coding assignments in a timely manner as determined by company guidelines and industry standards for assigned specialty.
  • Assist Revenue Cycle Operations in denial resolution.

Requirements:

  • Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Professional Medical Auditor (CPMA).
  • 3+ years of professional coding experience, including ICD-10-CM, HCPCS and CPT procedure coding.
  • 3+ years of professional services coding experience.
  • 3+ years of inpatient facility coding experience, including surgery.
  • 3+ years of experience with DRG and OPPS coding guidelines.
  • Extensive experience with various documentation and Electronic Medical Records systems. Experience with Meditech software preferred.
  • Extensive experience in observation, same-day surgery, emergency department, ancillary, outpatient and evaluation and management services.

The ideal candidate for this position should possess strong concentration and accuracy, even when faced with interruptions. They must demonstrate independent decision-making skills and excel in prioritizing tasks effectively. Additionally, the ability to handle stressful situations is essential. Excellent written and verbal communication skills are a must, along with the capability to meet quality and productivity standards. Furthermore, a solid understanding of anatomy, physiology, and medical terminology is required to excel in this role.



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