Professional Coder II

Cone Health; Greensboro (NC); On-site; USD 65,000 - 85,000; Full time

Job summary

Cone Health is seeking a Professional Physician Coder II to accurately code physician services using ICD-10, CPT, and HCPCS classifications. The role collaborates with physicians, management, and staff to secure complete records and maximize reimbursement.

The ideal candidate has at least two years of certified coding experience in professional or physician practice coding, proficiency in multi-specialty E/M coding, and one of CPC, CCS, CCS-P, or CMC certifications.

Qualifications

• Two years certified coding experience in professional or physician practice coding.
• Proficiency in multi-specialty E/M coding, diagnostic procedures, injections, vaccines, and bedside procedures.
• Must hold CPC/CCS/CCS-P/CMC certification(s).

Responsibilities

• Reviews medical records and codes physician services using ICD-10, CPT and HCPCS classifications.
• Codes diagnosis, co-morbidities, complications, procedures, supplies, injections, and drugs.
• Assists Central Business Office to maximize reimbursement and follow up of patient accounts.
• Notifies Compliance department of any violations discovered during review.
• Communicates with physicians, extenders, offices, coding team and manager.
• Uses department resources to support accurate coding practices.
• Maintains patient confidentiality.
• Maintains regular attendance per organizational policies.
• Performs other duties as assigned.

Skills

Medical coding

Communication

Attention to detail

Compliance awareness

Education

High school diploma or equivalent

Associate degree in Medical Office Billing (preferred)

Job description

The Professional Physician Coder II accurately and efficiently accesses wide range primary care and specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. This role assists with educating physicians, management, support staff and administration. This role also identifies possible revenue opportunities.

Essential Job Function

• Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems.
• Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS-all levels).
• Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (ie, Insurance Denials).
• Notifies Team Lead, Manager, and/or Compliance department of any compliance violations that are discovered during the review process.
• Communicates effectively with physicians, physician extenders, physician offices, members of the coding team and manager.
• Utilizes resource material available in department to support accurate coding practices.
• Maintains patient confidentiality.
• Maintains reasonably regular, punctual attendance consistent with the organization's policies, the ADA, FMLA and other federal, state, and local standards.
• Performs other duties as assigned.

Education

• Required: High school diploma or equivalent.
• Preferred: Associate degree preferably with Medical Office Billing.

Experience

• Required: Two (2) years certified coding experience in professional or physician practice coding. Proficiency in multi-specialty E/M coding, diagnostic procedures, injections, vaccines, and bedside procedures.

Licensure/Certification/Listing

• Required: One of the following national certifications: Certified Professional Coder (CPC) through the American Academy of Professional Coders. Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA). Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA). Certified Medical Coder (CMC) through Practice Management Institute.