Certified professional coder serp_jobs.h1.location_city

Position Summary Accurately and efficiently accesses wide range specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and / or physician extender (mid-level) services. Candidates are eligible to work remote from the listed states : FL, GA, AZ, TX, AL Responsibilities Essential Functions

• Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems.
• Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS-all levels)
• Verifies billable physician services by reviewing physician documentation for adherence to the "Physician at Teaching Hospital" rules set forth by the federal government.
• Submits to their Senior Coder any issues or trends found within the documentation of a particular physician for evaluation and follow up.
• Assembles and inputs coding results into the current Practice Management billing system to expedite proper billing.
• Collaborates with members of the specialty team to monitor and satisfy corporate financial goals within their specialty.
• Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (i.e., Insurance Denials)
• Communicates effectively with physicians, physician extenders, physician offices, members of the coding team and managers.
• Utilizes resource material available in department to support accurate coding practices.
• Maintains patient confidentiality.
• Demonstrates good communication skills both verbal and written.
• Maintains 90% accuracy rate.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards.
• Maintains compliance with all Orlando Health policies and procedures. Other Related Functions
• Participates in meeting department goals.
• Maintains productivity standards as designated by management.
• Assumes responsibility for own professional growth and development through educational programs, research, etc.
• Maintains certification status.
• Performs other related duties as assigned Qualifications Education / Training
• High School Diploma or equivalent.
• Computer / typing literacy, working knowledge of Anatomy, Physiology and Medical terminology required.
• Thorough knowledge of CPT, ICD-10 and HCPCS as evidenced by results of coding skills test of 80% or better. Licensure / Certification Must maintain one of the following national certifications :
• Certified Professional Coder-Apprentice (CPC-A) through the American Academy of Professional Coders
• Certified Professional Coder (CPC) through the American Academy of Professional Coders
• Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA)
• Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA)
• Certified Coding Associate (CCA) through the American Health Information Management Association (AHIMA)
• Certified Medical Coder (CMC) through Practice Management Institute Experience
• Minimum of one (1) year coding experience in professional / physician practice coding.
• Proficient in multi-specialty E / M coding is preferred

Education / Training

Essential Functions