Professional Fee Coder

St. Luke's University Health Network; United States; On-site; USD 65,000 - 90,000; Full time

Job summary

St. Luke’s University Health Network seeks a skilled Physician Coder to code and abstract physician services in hospital settings, ensuring data quality and CPT/HCPCS guidance adherence.

The role requires RHIA/RHIT/CPC/CCS-P certifications and 1–3 years experience with ICD-9/ICD-10; you will work with Medical Records, Finance and Physician Billing to ensure accurate information flow and ongoing staff education.

Qualifications

• RHIA, RHIT, CPC or CCS-P certification required.
• 1–3 years CPT/HCPCS physician coding experience.
• Experience with ICD-9/ICD-10, CPT and HCPCS guidelines.
• Proficiency in data entry and accessing EMR systems.

Responsibilities

• Code and abstract physician services for hospital settings.
• Maintain 95% coding accuracy per QA.
• Enter data into specialty databases.
• Educate medical staff on coding/compliance.

Skills

Medical coding

Professional communication

Data accuracy

Education

RHIA, RHIT, CPC or CCS-P

Tools

3M Encoder

EMR systems

Job description

St. Luke’s is proud of the skills, experience and compassion of its employees. The employees of St. Luke’s are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient’s ability to pay for health care.

The Physician Coder codes and abstracts physician services performed in the hospital setting according to AHA, AMA, guidelines and CMS directives. Must assure data quality through quarterly reviews. Performs data entry of physician services statistics into specialty-specific databases. Works with Medical Records, Finance, and Physician Billing to ensure appropriate flow of information.

JOB DUTIES AND RESPONSIBILITIES:

• Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines. Utilizes 3M Encoder for validation of RVUs and CPT-4 procedure unbundling.
• Maintains a 95% coding accuracy rate as measured through quality reviews.
• Maintains daily productivity as outlined
• Responsible for maintaining up-to-date knowledge of coding guidelines as they relate to physician services for hospital inpatient, observation, consultant, surgical, critical care, and E & M services.
• Performs data entry of abstracted physician information into specialty- specific databases.
• Conducts educational sessions to the medical staff for coding and documentation compliance.

PHYSICAL AND SENSORY REQUIREMENTS:

Sitting for up to seven hours per day, three- four at a time. Frequently uses fingers for typing, data entry, etc. Frequent use of hands. Use of upper extremities to rarely lift up to ten pounds. Rarely stoops, bends, or reaches above shoulder level. Hearing as it relates to normal conversation. Seeing as it relates to general vision, near vision, peripheral vision and visual monotony.

EDUCATION:

RHIA, RHIT, CPC, OR CCS-P with working knowledge of ICD-9/ICD-10, CPT and HCPCS coding required.

TRAINING AND EXPERIENCE:

Minimum 1-3 years experience in CPT/HCPCS physician procedural coding. Previous experience with computerized patient record and coding system preferred.

St. Luke’s University Health Network is an Equal Opportunity Employer.