Coding Specialist II - Physician Group (Specialty Team)

Medical Coding Specialist

Reviews medical record documentation, extracts data, and applies appropriate diagnosis and procedure codes for complex multi-specialty physician group. Coding responsibilities include inpatient hospital, outpatient hospital, and ambulatory services to support professional fee billing, internal and external reporting, research and regulatory compliance. Complies with the ICD-10-CM and CPT/HCPCS Official Guidelines for coding and reporting as well as other nationally established rules and regulations for coding assignment.

Responsibilities

• Provides code assignment for all levels of Professional Fee (Physician Coding) for Inpatient, Outpatient and/or Ambulatory Services and/or Charge Entry services for large multi-specialty physician group.
• Assigns diagnostic and procedural codes to patient records using ICD-10-CM and CPT/HCPCS and any other designated coding classification systems in accordance with coding guidelines.
• Assigns and sequences codes accurately based on medical record documentation.
• Verifies accuracy of code assignment provided by physicians and/or designated staff.
• Assigns diagnosis/procedure codes utilizing the 3M Encoder to arrive at the most accurate code within designated time frame as agreed upon and/or outlined in policy.
• Incorporates current regulatory coding requirements and guidelines appropriately.
• Maintains weekly coding productivity log and provides feedback to the Supervisor/Manager of VMG Coding regarding any coding issues/problems.
• Maintains coding accuracy of 90% or better, in accordance with Medical Group policy.
• Average number of records coded per hour must meet minimum established quantitative standards per type of patient record.
• Responsible for reviewing claims and correcting Claims Manager and/or Epic edits.
• Demonstrates effective computer skills for all coding functions.
• Maintains confidentiality of patient information.
• Participates in In-Service education, updates and conferences to remain current with coding requirements and guidelines.
• Maintains AHIMA and/or AAPC credentials.

Minimum Requirements

• High School or Equivalent (GED) and one of the following AHIMA or AAPC credentials is required: RHIA, RHIT, CCS, CCS-P, CPC
• Associate's Degree in Health Information Technology or Bachelor's Degree in Health Information Management is preferred.
• 1 - 2 years relevant coding experience required.

Pay Range

$23.52 - $34.28/hr

Other Information

• Remote role (based out of Greenville, NC)
• Monday - Friday full-time day shift
• Great Benefits