Specialty Coder - PHYS

Piedmont; Atlanta (GA); On-site; USD 55,000 - 75,000; Full time

Job summary

Piedmont Healthcare is seeking a skilled Medical Coder to review, analyze, and code medical records with ICD-10, CPT, and HCPCS for complex procedural and surgery cases. You’ll abstract demographics into our system and ensure medical necessity is supported, while auditing orders and claims for accuracy.

The role requires a GED or high school diploma, and an AAPC‑accredited coding certificate is preferred. Collaboration with physicians and staff is key to success.

Qualifications

• H.S. Diploma or GED required.
• AAPC-accredited Coding Certificate preferred.

Responsibilities

• Reviews, analyzes, and codes medical record documentation for ICD-10, CPT, Modifiers and HCPCS to greatest specificity.
• Abstracts demographic and coding information into the information system accurately.
• Reviews documentation for medical necessity and audits orders and claims for accuracy to minimize denials.
• Provides technical guidance to physicians and staff in identifying and resolving issues or errors.
• 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.

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