Medical Coder

Cape Cod Healthcare; Hyannis (MA); Hybrid; USD 34,440 - 46,838; Full time

Job summary

Cape Cod Healthcare is seeking a Medical Coder to assign and group diagnoses, procedures, and level codes based on patient records. You will enter data into the system, review documentation, and ensure coding compliance and accurate reimbursement classifications.

The role requires CPC eligibility and English proficiency, with a hybrid schedule and 40 hours per week. Prior outpatient coding experience is preferred.

Qualifications

• Two years of outpatient coding experience preferred.
• Comprehensive understanding of ICD-10 and CPT coding.
• Ability to read, write and communicate in English.

Responsibilities

• Analyzes, sequences and validates assigned codes based on medical record documentation.
• Abstracts and enters demographic and clinical data into the computer system.
• Query physicians to obtain additional documentation for accurate coding.
• Maintains accuracy and productivity per department standards.
• Assists in onboarding new coding personnel and stays updated on coding rules.

Skills

Outpatient Coding experience

ICD-10 knowledge

CPT coding knowledge

English communication

Education

High School Diploma or GED

CPC Certification eligibility

Job description

Purpose of Position:

To assign and group diagnoses, procedure and level codes based on medical record documentation in accordance with coding compliance, regulatory and reimbursement requirements. To ensure appropriate coding for case mix classification and expected reimbursement based on assigned diagnosis, procedure and level codes and reimbursement classifications as supported by medical record documentation. To enter diagnoses, procedure and level codes and patient demographic information into computer system.

Description

• Analyzes, sequences and validates assigned codes based on medical record documentation using the automated encoder, book and coding compliance resources.
• Demonstrates complete understanding of coding rules, anatomy, physiology and medical terminology to appropriately code patient information.
• Reviews all medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers.
• Ensures that coding compliance, regulatory and reimbursement requirements are met through the process of assigning reimbursement classifications.
• Abstracts and enters demographic, clinical and related patient information into the computer system.
• Assess adequacy of documentation and queries physicians and other healthcare providers to obtain additional medical record documentation or to clarify documentation to ensure accurate and appropriate coding and grouping.
• Reconciles, identifies and retrieves medical records to be coded.
• Maintains a 95% ongoing accuracy rate.
• Consistently achieves daily coding output within the minimal productivity standards set by MACC. Self-manages and prioritizes work flow to achieve timely submission of claims and optimal productivity.
• Maintains accurate productivity logs and provides this information to management in a timely fashion.
• Assists in the orientation and development of new coding personnel.
• Assumes professional responsibility for development of skills and ongoing education to maintain Active Coding certification.
• Remains abreast of developments in health information management by pursuing a program of professional development, attending educational programs and meetings and reviewing pertinent literature.
• Continuously monitors medical record documentation, individual performance and department workflow as related to the coding function to identify problems and potential solutions (especially related to errors and compliance issues). Communicates with the PB Coding Manager to find solutions and implement changes to increase productivity and department efficiency.
• Performs all duties and interacts with others in a professional manner.
• Performs other related duties as assigned.

Qualifications

• High School Diploma or GED
• Two years of Outpatient Coding experience preferred
• Must meet CPC Certification eligibility requirements and must obtain CPC Certification within 3 months of position
• Ability to read, write and communicate in English
• Comprehensive understanding of ICD10 and CPT coding
• Successful passage of Coding exam, demonstrating understanding of coding and impact on reimbursement with a grade of 80% or higher
• Demonstrated ability to create strong working relations with physicians and practices.
• Capable of working independently as well as in a team environment

Schedule Details: 40 Hours Per Week, Monday-Friday, 8a-4p, Occasional Weekends & Occasional Holidays. Hybrid Candidates Considered.

Organization : Cape Cod Healthcare, Inc.

Primary Location : Massachusetts-Hyannis

Department : HCI-PB Health Info Mgmt

Annual/Hourly: Hourly

Hiring Pay Range: 25 - 34