Physician Coder I

AAPC; United States; On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

Remote work option

Job summary

DaMar Staffing seeks a Physician Coder I to code outpatient records using ICD and CPT codes. The role involves ensuring accurate coding, issue escalation with providers when needed, and maintaining productivity within outpatient coding standards.

The candidate should have a High School Diploma or GED, with 1 year of outpatient coding experience preferred and certification options (RHIA/RHIT/CCS/CCA or CPC/CPC-H) desirable. Remote work potential may be available.

Qualifications

• High School Diploma or GED required.
• 1 year outpatient coding experience preferred.
• At least one of RHIA/RHIT/CCS/CCA or CPC/CPC-H certification preferred.

Responsibilities

• Assigns codes to diagnoses and procedures from outpatient records using ICD and CPT codes according to coding guidelines.
• Ensures codes are sequenced accurately to support proper reimbursement and payer requirements.
• Identify, research, and route accounts in coding/billing queues to ensure clean submissions.
• Query providers when documentation is insufficient or ambiguous to reflect accurate conditions or procedures.
• Maintain productivity and quality standards per outpatient coding policies.
• Utilize coding references and collaborate with supervision and clinic staff on documentation issues.
• Demonstrate ongoing professional development through coding workshops and CE credits.
• Perform other duties as assigned.

Education

High School Diploma or GED

Tools

ICD-10-CM/PCS knowledge

CPT coding knowledge

Job description

Physician Coder I

The Certified Coder I performs functions of coding diagnosis and procedures from outpatient center/clinic records utilizing International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) codes. (Potential Remote)

Typical Duties:

1. Assigns codes to diagnosis and procedures of outpatient records, including clinics, Urgent Care and Emergency room, utilizing ICD and CPT codes in accordance with ICD Coding Guidelines, CPT Coding Guidelines, American Hospital Association (AHA) Coding Clinics and the JPS Outpatient Coding Policy and Procedures. These charts are typically less than one day stays and are of low to medium clinical complexity of service requiring knowledge of anatomy, physiology and basic pharmacology.
2. Ensures codes are assigned accurately and sequenced correctly ensuring reimbursement is appropriate in accordance with government, insurance, and/or other payer regulations to include the coding of diagnoses and procedures and may include the coding of signs and symptoms if needed to support medical necessity.
3. Identifies, researches, and corrects or routes accounts on the coding and billing edit work queues to meet coding guidelines and facilitate accurate billing.
4. Queries the provider when documentation is determined to be insufficient, conflicting or ambiguous to elicit documentation reflecting the most accurate and specific conditions or procedures.
5. Maintains productivity and quality standards set forth in the District's outpatient coding standards.
6. Utilizes online and hard copy coding reference materials.
7. Works closely with Outpatient Coding Supervisor and the health center/clinic medical and nursing staff regarding documentation and notification of charging issues.
8. Demonstrates evidence of professional growth by attending coding workshops, conferences and or seminars, maintaining required C.E. requirements (departmental and professional), and individual study and education regarding coding, reimbursement, and HIM competencies.
9. Performs other job related duties as assigned.

• Required Education and Experience: High School Diploma, GED, or equivalent.
• Preferred Education and Experience: 1 year outpatient coding experience.
• Required Licensure/Certification/Specialized Training: At least one of the following registrations or certifications:
  • American Health Information Management Association (AHIMA): Registered Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT), Certified Coding Specialist (CCS), or Certified Coding Administrator (CCA).
  • American Academy of Professional Coders (AAPC): Certified Professional Coder (CPC) or Certified Professional Coder-Hospital Outpatient (CPC-H).

Location Address: 200 W. Magnolia Fort Worth, Texas, 76104 United States