Physician Coder

The University of Kansas Hospital; Lenexa (KS); Remote; USD 50,000 - 90,000; Full time

Job summary

An innovative healthcare institution is seeking a skilled Physician Coder to join their remote team. This vital role involves reviewing outpatient and inpatient EHRs, ensuring accurate coding and billing practices, and serving as a resource for healthcare providers. The ideal candidate will have a strong understanding of CPT, ICD-10, and HCPCS coding, along with a commitment to maintaining high coding accuracy. This position offers the opportunity to contribute significantly to the efficiency and effectiveness of healthcare delivery while supporting ongoing education in coding practices. If you are passionate about healthcare coding and looking for a rewarding opportunity, this role is perfect for you.

Qualifications

• High school diploma or GED required.
• Coding accuracy of 95% or higher needed.

Responsibilities

• Review EHRs for documentation; audit and assign codes for billing.
• Educate physicians on coding practices and documentation requirements.

Skills

CPT Coding

ICD-10 Coding

HCPCS Coding

Billing Knowledge

Documentation Review

Communication Skills

Education

High School Diploma

Associate's Degree in Health Information Management

Tools

Epic

Job description

Position Title: Physician Coder (Remote)

Position Summary / Career Interest: The HIM Outpatient Surgery / Ambulatory Coder reviews outpatient and inpatient EHRs, monitors CPT, ICD-10, and HCPCS code changes, and audits or assigns codes for professional and hospital accounts. This role supports accurate billing and facility APC assignment, serving as a resource for physicians and healthcare providers regarding coding and documentation review.

Responsibilities and Essential Job Functions

1. Review outpatient and inpatient EHRs for appropriate documentation and signatures; review interface charges prior to billing. Monitor CPT, ICD-10, and HCPCS code changes. Audit and assign professional and hospital codes and modifiers for various accounts, with training on specialty or complex surgical coding after two years.
2. Review physician coding and suggest modifications to maximize reimbursement according to coding and payer guidelines, ensuring proper use of codes and modifiers based on supporting documentation.
3. Identify and resolve billing issues such as continuity of care, discharge summaries, and consultation documentation.
4. Resolve coding-related edits and denied claims for outpatient surgical and ambulatory services.
5. Communicate documentation requirements to physicians and staff, and educate on coding practices and conventions.
6. Maintain knowledge of charge generation requirements and accurately code diagnoses supported within clinical documentation, including assessing unspecified diagnoses for specificity.
7. Participate in continuing education to stay current with anatomy, physiology, medical terminology, disease processes, and surgical techniques, applying ICD-10-CM and CPT guidelines effectively.
8. Provide real-time feedback to providers on coding and documentation practices.
9. Meet productivity requirements of 95% or better after training, performing competencies of the assigned unit or department.

Minimum Requirements

• High School Diploma or GED.
• Coding accuracy of 95% or higher per HIM Quality Analysis Policy.

Preferred Qualifications

• Associate’s Degree in Health Information Management or related field.
• At least 1 year of experience with Epic and billing/data entry in healthcare settings.
• Minimum of 2 years of inpatient/outpatient ICD-10 coding experience.

Licensure and Certification

• Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), or similar credentials from AAPC or AHIMA.

Language Skills

• Fluent in English.