Profee & Facility Coder - Emergency Medicine

Brault; Oregon; Hybrid; USD 65,000 - 90,000; Full time

Job summary

Brault in Oregon seeks a skilled Coding Specialist to apply CPT and ICD-10 codes to patient records and provide feedback to physicians on documentation improvement opportunities. The role supports reimbursement and regulatory reporting by maintaining coding accuracy and timely chart processing.

Responsibilities include auditing medical records, querying for missing information, and meeting daily production targets while collaborating with the team on quality assurance and process improvements.

Qualifications

• Ability to analyze medical records and assign CPT and ICD-10 codes accurately.
• Knowledge of CMS regulations, payer requirements, and Brault policies.

Responsibilities

• Analyze and assign CPT and ICD-10 codes for charts daily.
• Review documentation to improve physician coding and reimbursement.
• Complete deficiency and incomplete documentation forms for queries.
• Ensure timely delivery of coded charts and maintain production records.
• Participate in QA and team meetings.

Skills

CPT coding

ICD-10 coding

medical record review

payer requirements

Tools

EMR software

coding software

Job description

Description

Position Summary

Under general supervision, this position is responsible for the following activities: application of the appropriate CPT and ICD-10 codes to individual patient medical records; review of medical record documentation for the elements necessary to determine the appropriate code assignment; and for providing feedback to the physician regarding documentation improvement opportunities.

Assigned codes are used for physician reimbursement and to establish a statistical database for the company. This database is used throughout the organization for administrative planning and to meet regulatory reporting requirements.

Essential Duties and Responsibilities

Productivity /Efficiency

• Analyzes and evaluates medical record documentation to determine the appropriate CPT (E&M Level and procedure) codes and ICD-10 diagnosis codes that may be reported by the Client for billing purposes, according to current Brault policy, government regulations, and payer requirements.
• Completes coding functions for all charts assigned daily and distributes coded charts to the subsequent step in the workflow according to Brault P&P and departmental protocols.
• Reviews documentation for opportunities to improve physician documentation for services rendered, thus improving reimbursement.
• Completes documentation deficiency data collection forms for tracking/trending and reporting purposes.
• Completes incomplete documentation forms for use in querying the physician for additional information needed to code the account.
• Identifies accounts that are non-billable and or missing.
• Codes a minimum of 135-150 charts per day (18-20 per hour) with a 96% or greater accuracy
• Delivers all work with one business days from the date the work became available to the coder.
• Communicates all variations to the established workflow and escalates all issues that prevent daily coding or month end close.
• Completes timecard and production records daily.
• Participates in team activities for quality assurance and peer review as assigned.
• Attends all departmental and company meetings.

Technical Skills

Correct Coding Assignments

• Maintains current knowledge of CMS regulations, ICD-