Professional/Physician Medical Coder SR - FT - BPS Primary Care Peerless

Vitruvian Health Coding Specialist

At Vitruvian Health, we serve with compassion. As the leading healthcare system for northwest Georgia and southeast Tennessee, we are committed not only to strengthening the health of our communities, but also to supporting the growth, success, and well-being of every team member.

Formerly Hamilton Health Care System, Vitruvian Health is built on a legacy of trust, innovation, and exceptional care. With more than 80 access points across the regionincluding Hamilton Medical Center and Bradley Medical Centeryou'll have the opportunity to be part of something bigger: a connected, mission-driven team making a difference every day.

Our core valuesProfessionalism, Respect, Integrity, Diversity, and Excellence (PRIDE)guide every interaction and decision. We believe in empowering our people, celebrating what makes us unique, and delivering care that reflects the heart of our mission.

Join us and build a meaningful career where you're valued, inspired, and supported to make a real impact.

Excellence. Every person. Every time.

Job Summary

Under indirect supervision, the associate remotely reviews medical records and assigns/verifies the appropriate CPT and ICD10 code(s) while adhering to published compliance regulations and guidelines. The individual must be detailed oriented, possess initiative, be able to work independently, and must demonstrate the ability to work with physicians and other healthcare providers with cooperation and flexibility. This position serves as a resource for physicians in regard to code assignment issues and related policies and procedures regarding required documentation. The associate reviews assigned work daily, ensures timely charge review and claim creation, and maintains strict confidentiality with regard to protected health information. The individual understands and adheres to HIPAA Privacy & Security policies and procedures.

Job Qualifications

Education: High School Diploma Required.

Licensure: Base Coding Certification required (CPC, CPC-H, CCA, CCS, CCS-P) along with two additional specialty credentials required.

Experience: At least 6 years' experience coding Evaluation and Management services required, surgical specialty experience required.

Skills: The associate must possess knowledge of medical record content, medical terminology, anatomy & physiology, ICDCM/PCS & CPT coding systems. The individual must have the ability to examine the chart and verify documentation needed for accurate code assignment and be able to clearly communicate medical coding information to providers, other qualified healthcare professionals, and clinical staff when appropriate. The associate must possess knowledge of coding concepts and principles, understanding of medical coding and billing systems, and knowledge of legal, regulatory, and policy compliance matters related to medical coding, documentation and billing. The individual has the ability to apply good judgment, has excellent decision-making skills, and must be able to work in team environment but also work autonomously due to the nature of the position. The associate must be detail oriented and consistently produce quality work. The individual must possess good verbal, written and computer communication skills and be able to perform functions in Microsoft Office. The associate must practice excellent self-discipline and time management skills due to its remote nature. The individual must remain calm under stress and must be able to appropriately respond to a disgruntled person during such occasions when necessary (i.e., internal and external customers and stakeholders). The associate routinely resolves coding edits and coding related denials by working from work queues for the respective specialty/responsibility assigned. This requires payer policy and coding guideline knowledge and research, as well as effective communication with billing staff on resolution steps. The associate is responsible for making coding related charge corrections/resubmission of claims where applicable.

Full-Time Benefits

• 403(b) Matching (Retirement)
• Dental insurance
• Employee assistance program (EAP)
• Employee wellness program
• Employer paid Life and AD&D insurance
• Employer paid Short and Long-Term Disability
• Flexible Spending Accounts
• ICHRA for health insurance
• Paid Annual Leave (Time off)
• Vision insurance