The Professional Physician Coder II accurately and efficiently accesses wide range primary care and 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 (midlevel) services. This role assists with educating physicians management support staff and administration. This role also identifies possible revenue opportunities.
Responsibilities
Reviews medical records and codes physician services utilizing current ICD10 CPT and HCPCS classifications systems. Codes diagnosis comorbidities complications therapeutic and diagnostic procedures supplies materials injections and with International Classification of Diseases (ICD10 Current Procedural Terminology (CPT) Heath Care Financing Administration Common Procedure Coding Systems (HCPCSall levels). Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (i.e. Insurance Denials). Notifies Team Lead Manager and/or Compliance department of any compliance violations that are discovered during the review process. Communicates effectively with physicians physician extenders physician offices members of the coding team and manager. Utilizes resource material available in department to support accurate coding practices. Maintains patient confidentiality. Maintains reasonably regular punctual attendance consistent with the organizations policies the ADA FMLA and other federal state and local standards. Performs other duties as assigned.
Qualifications
EDUCATION:
Required: High school diploma or equivalent Preferred: Associate degree preferably with Medical Office Billing
EXPERIENCE:
Required: Two 2 years certified coding experience in professional or physician practice coding. Proficiency in multispecialty E/M coding diagnostic procedures injections vaccines and bedside procedures.
LICENSURE/CERTIFICATION/REGISTRY/LISTING:
Required: One of the following national certifications: 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 SpecialistPhysician (CCSP) through the American Health Information Management Association (AHIMA). Certified Medical Coder (CMC) through Practice Management Institute.
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