Professional Physician Coder - HeartCare

Cone Health; Greensboro (NC); On-site; USD 36,000 - 48,000; Full time

Job summary

Cone Health is seeking an entry-level Professional Physician Coder to review medical records and accurately code physician services using ICD-10, CPT and HCPCS. The role supports the Central Business Office to maximize reimbursement with compliant coding practices and effective communication with physicians.

Ideal candidates have a high school diploma, knowledge of anatomy and medical terminology, and certification in CPC/CCS/CCS-P/CMC. An associate degree in medical office billing is preferred.

Qualifications

• Entry-level physician coding experience in professional or physician practice coding.
• One of CPC, CCS, CCS-P, or CMC national certifications.
• High school diploma or equivalent; knowledge of anatomy, physiology and medical terminology.
• Preferred: Associate degree with Medical Office Billing.

Responsibilities

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

Skills

ICD-10 coding

CPT coding

HCPCS coding

Medical terminology

Electronic health records

Education

High school diploma or equivalent

Associate degree (preferred)

Job description

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 (i.e., 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.