Professional Physician Coder

Dormont Manufacturing Co; United States; On-site; USD 52,000 - 70,000; Full time

Job summary

Dormont Manufacturing Co in the United States is seeking an entry-level Professional Physician Coder to accurately code physician services using ICD-10, CPT and HCPCS, and to support professional billing processes. The role emphasizes compliance, confidentiality, teamwork with physicians and the billing team, and ongoing learning of coding standards.

Required: high school diploma, knowledge of anatomy and medical terminology, and computer/typing literacy; CPC/CCS/CCS-P/CMC certifications are

Qualifications

• Entry-level physician coding experience in professional or physician practice coding is required.
• Knowledge of ICD-10, CPT and HCPCS classification systems is needed.
• Computer/typing literacy is required; knowledge of anatomy, physiology and medical terminology is essential.

Responsibilities

• Review medical records and code physician services using ICD-10, CPT and HCPCS.
• Code diagnoses, co-morbidities, complications, procedures, supplies and drugs.
• Assist Central Business Office to maximize reimbursement and manage denials.
• Notify Lead/Manager/Compliance of any compliance issues.
• Communicate with physicians, offices, coding team and manager.
• Maintain patient confidentiality and regular attendance.
• Perform other duties as assigned.

Skills

Typing literacy

Anatomy & Physiology

Medical terminology

Education

High school diploma or equivalent

Associate degree in Medical Office Billing (preferred)

Job description

Professional Physician Coder

The Professional Physician Coder accurately and efficiently accesses wide range 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 is an entry level professional physician coding role.

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; Computer/typing literacy, knowledge of Anatomy, Physiology and Medical terminology required
• Preferred: Associate degree preferably with Medical Office Billing

Experience

• Required: Entry level physician certified coding experience in professional or physician practice coding.
• Preferred: Prior physician practice experience is highly desirable.

Licensure/Certification/Listing

• Required: One of the following national certifications: Certified Professional Coder (CPC) through the American Academy of Professional Coders. CPC-A is a minimum requirement. 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)