Professional Coder II

Cone Health Medical Group; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

Cone Health Medical Group is seeking a Professional Physician Coder II to accurately code professional physician services using ICD-10, CPT and HCPCS. You will educate physicians and staff while identifying revenue opportunities.

The role requires two years of certified coding experience in a physician practice, proficiency in multi-specialty E/M coding, and active certifications CPC/CCS/CCS-P/CMC. On-site work with standard full-time hours.

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.
• Maintains patient confidentiality and adheres to privacy standards.
• Communicates effectively with physicians, staff and management.

Responsibilities

• Reviews medical records and codes physician services using ICD-10, CPT and HCPCS.
• Supports Central Business Office to maximize reimbursement and follow up on denials.
• Notifies team leads and compliance of potential violations identified during review.
• Uses department resources to ensure accurate coding practices.
• Performs other duties as assigned and maintains attendance per policy.

Skills

Medical coding proficiency

HIPAA compliance

Communication skills

Education

High school diploma or equivalent

Associate degree (preferred)

Job description

Administrative Support

Excited to grow your career?

We value our talented employees, and whenever possible stride to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!

Our people make all the difference in our success.

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 equivalentPreferred: 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.

Work Shift :

Days/No Weekends (United States of America)

On Call Required

No

FTE:

1

Job Type:

Full Time (40 Hours/Week)