Professional Coder
C
Capital HealthHealthcare
While remote, we are only considering candidates in New Jersey, Pennsylvania, and AlabamaFull-TimeMiddle
Salary53,019.2 - 68,972.8 USD per year
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Job Details
- Experience
- Two years' experience in physician coding role preferred.
- Required Skills
- Microsoft Office
Requirements
- High school diploma or equivalent.
- Certified Professional Coder-Apprentice (CPC-A), Certified Professional Coder (CPC), or Certified Coding Specialist-Physician (CCS-P) certification required.
- Associate's degree in health information management preferred.
- Two years' experience in physician coding role preferred.
- ICD-10-CM, CPT-4 and HCPCS coding experience preferred.
- One year surgical coding experience preferred.
- Strong knowledge of surgical coding guidelines.
- Knowledge of pathophysiology and disease processes.
- Medical Terminology, Anatomy and Physiology, or Pathophysiology knowledge.
- Proficient with Microsoft applications to include Outlook, Word, Excel, PowerPoint.
- Excellent verbal and written communication skills.
- Ability to work in environment using multiple EMR systems.
Responsibilities
- Review procedure documentation to assign accurate CPT-4 procedure codes and appropriate modifiers for OR and procedure room cases.
- Validate provider-selected ICD-10-CM diagnosis codes.
- Analyze provider documentation to ensure appropriate Evaluation and Management (E&M) code assignment.
- Meet or exceed departmental accuracy and productivity standards.
- Ensure compliance with national coding guidelines and internal policies.
- Review CCI edits, MUE edits, LCD and NCD coverage before chart finalization.
- Identify documentation gaps or inconsistencies and escalate when clarification is required.
- Collaborate with billing, charge review, and revenue integrity teams to prevent recurring issues.
- Address professional coding pre-bill edits timely to ensure minimal days in DNFB.
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