Physician Coder, Sr

Overview Serves as an advanced member of the Physician Coding team responsible for advanced professional coding audits, complex coding issue resolution, coder and provider education, and ensuring compliance with ICD 10 CM, CPT, HCPCS, and payer specific policies. This role functions as a key liaison with Corporate Compliance, Revenue Integrity, Patient Access, Case Management, and clinical departments for all physician coding related functions.Supports pre-admission authorization accuracy by reviewing documentation, provider intent, and planned procedures to confirm correct CPT code selection prior to authorization submission. This includes coordinating with pre-admission nurses, surgical scheduling, case management, and physician practices to ensure authorized CPT codes accurately reflect the services planned.Operates with a high degree of independence and professionalism and is expected to demonstrate advanced clinical knowledge, analytical skill, and the ability to manage sensitive and confidential information. Supports departmental projects, workflow optimization, and mentorship of physician coding staff. Licensure Certified Professional Coder Or Certified Coding Specialist- Physician Or Registered Health Information Technician Or Registered Health Information Administrator Required Education High School Diploma or Equivalent Required Associate's Degree Preferred Experience 5 Years Coding Required Create a Job Match for Similar Jobs

At WakeMed Health & Hospitals, we are guided by a simple – yet powerful mission: to improve the health and well-being of our community by providing outstanding and compassionate care to all.To deliver on this mission, WakeMed employs the “best minds and the biggest hearts” in the business. Our team includes over 8,500 experienced registered nurses, technologists, medical professionals, support staff, and a medical staff of more than 1,200 physicians and advanced practice providers who are dedicated to putting patients first.When it comes to culture and benefits, we recognize that when we take good care of our employees, our employees can take even better care of our patients. We proudly offer competitive salaries that reflect background, experience and special skills. Our benefits programs are designed to give you and your family the support you need for today while planning for a successful tomorrow. We promote diversity in the ... workplace, provide equal employment opportunity for all qualified applicants, and we participate in E-verify.We think it’s pretty simple – we care for our employees and our employees care for the community.

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