Description

Location: SGMC Patient Financial Services
Department: REVENUE CYCLE MEDICAL GROUP
Schedule: Full Time, 8 HR Day Shift,

POSITION SUMMARY

Abstracts ICD-10 and CPT codes for Diagnosis and Procedures for professional services. Reviews and analyzes medical records verifying and coding the diagnosis, evaluation and management service, minor procedures, or other codes required for the completeness and accuracy of the record. Additionally, will code and/or review principal diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, any applicable supply, medication, and injectable drugs. Maintains communication with Management, Practice Manager, and Provider to ensure timely notification of identified documentation issues. Interact with other team members of the revenue cycle and provider clinics. Responsible for continuing education of all clinical staff members and providers. Interacts with billing staff to assist in inquiries regarding coding, documentation, denials and billing. Must have highly effective and professional written and verbal communication skills. Knowledge of legal, regulatory and policy compliance issues regarding medical coding, billing, and documentation. Maintains an accuracy score of 95% or higher for CPT and ICD-10 coding. Responsible for attending all mandatory education sessions and continuing education credits required to maintain CPC certification. Assists in the review and appeal process of denied professional services. Must be able to meet competing deadlines, be highly organized, goal driven, and work well with others.

KNOWLEDGE, SKILLS & ABILITIES

• Certified Professional Coder (CPC) required or Certified Coding Specialist (CCS, CCS-P). Previous coding experience required.
• Coding in 3 or more specialties preferred.
• Experience working in a physician office preferred.
• High School graduate or equivalent.
• Knowledge of anatomy and physiology, medical terminology, ICD-10, HCPCS, and CPT required.
• Good communication skills essential.
• Medical Office setting experience preferred.
• Time management skills.
• Demonstrates initiative to provide quality of services and improve efficiencies.
• Proficient in Microsoft Office, especially Excel and Teams.

Coder may spend long hours working at computer terminal. Must be able to see and read names, numbers, and colors. The Coder is subject to high stress levels. The coder must have and maintain reliable high-speed internet and is able to agree to organizations IT Security policies for remote access work.