Physician Practice Coder
8 hours ago
Key Responsibilities
- Assign ICD10 and CPT codes for physician office visits and hospital-based visits, ensuring accuracy and compliance with national guidelines.
- Evaluate medical records to determine the most appropriate clinical diagnosis and procedure codes.
- Collaborate with physicians, practice managers, and offices to ensure complete and accurate documentation.
- Communicate the principles and importance of documentation improvement to healthcare team members.
- Consult with medical providers to clarify missing or inadequate record information and determine appropriate diagnostic and procedure codes.
- Provide thorough, timely, and accurate assignments of ICD and/or CPT codes.
- Prompt physicians regarding missing, unclear, or conflicting medical record documentation and obtain additional documentation when needed.
Requirements
- Must demonstrate a level of knowledge and understanding of ICD and CPT coding principles as recommended by the American Health Information Management Association coding competencies.
- Must be able to work effectively with electronic medical record software, coding software, and scrubber software.
- Strong analytical skills and attention to detail are essential.
Education and Certifications
- High school diploma or equivalent working knowledge.
- Prefer formal training in medical record keeping principles and practices, anatomy, physiology, pathology, medical terminology, standard nomenclature, and classification of diagnoses and operations.
- Prefer applicant has a coding certification (CPC, CCA, CCS, CCS-P or RHIT or RHIA in active status) and ideally looking for someone with at least 2 years of current physician practice coding experience.
Experience
- Preferred 2 years physician practice coding experience.
Grand Lake Health System is an equal opportunity employer and complies with applicable federal, state, and local laws governing nondiscrimination in employment in all of our locations. We are an At-Will Employment employer.
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