Specialty Coder - PHYS

Piedmont Healthcare; Atlanta (GA); Hybrid; USD 75,000 - 105,000; Full time

Job summary

Piedmont Healthcare is seeking a Medical Coder to review, analyze, and code medical records for complex procedural and surgery coding across Interventional Radiology, Cardiology, EP and Cardiothoracic subspecialties, ensuring the greatest specificity for ICD-10, CPT, modifiers and HCPCS.

The role abstracts demographics into the information system, audits orders and claims, assesses records for medical necessity, and provides guidance to physicians and staff.

Qualifications

• GED or high school diploma required; coding certificate preferred.
• AAPC-accredited coding certificate preferred.

Responsibilities

• Reviews, analyzes, and codes medical record documentation to the greatest specificity for ICD-10, CPT, Modifiers and HCPCS.
• Abstracts demographic and coding information into the information system accurately.
• Reviews documentation for medical necessity and audits orders and claims before submission.
• Provides technical guidance to physicians and other staff in identifying and resolving issues.
• Develops effective working relationships with physicians and stakeholders.
• Primary coding responsibility is complex procedural and surgery coding.

Education

H.S. Diploma or GED

Coding Certificate program (AAPC accredited)

Job description

Overview:

At Piedmont Healthcare, you'll love a shared purpose, be motivated to be your best, and be recognized for your contributions. Piedmont Healthcare leaders are in your corner and invested in your success. Our wellness programs and comprehensive total benefits and rewards will meet your needs for today and help you plan for the future.

Responsibilities:

Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical diagnostic and complex procedural information for various medical and surgical subspecialties for the correct ICD-10, CPT, Modifiers and/or HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for entirety and accuracy and to minimize claim denials. Assesses records and prepares reports. Provides technical guidance to physicians and other departmental staff in identifying and resolving issues or errors. Develops effective working relationship with physicians and other stakeholders. Primary coding responsibility is complex procedural and surgery coding.

Qualifications:

Education

• H.S. Diploma or General Education Degree (GED) Required
• Coding Certificate program (AAPC accredited ) Preferred

Work Experience

• 3 years of coding experience for Interventional Radiology, Cardiology, EP and Cardiothoracic specialties Required
• Experience coding across multiple specialties and remote coding experience is Preferred

Licenses and Certifications

• One or more of the following certifications Upon Hire Required
• RHIA - Registered Health Information Administrator or
• RHIT - Registered Health Information Technician or
• CCA - Certified Coding Associate or
• CPC, CPC-A, or CPC-H or
• CCS or CCS-P
• Cardiology Specialties: Cardiothoracic, Interventional, EP, and Cardiovascular Surgery coding/certification Preferred
• Transplant Surgery coding/certification Preferred
• Neurosurgery Surgery coding/certification Preferred

Business Unit : Company Name:

Piedmont Healthcare Corporate