Certified Coder
Certified Coder
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Job Description
Overview
Hello humankindness Dignity Health Medical Group is the employed physician group of Dignity Health Arizona. Dignity Health Medical Group (DHMG) employs approximately 400 providers and 1200 support staff that cover a wide variety of specialties. The medical group has had tremendous success over the past few years and now provides more than 73 subspecialty services. The physicians provide clinical services in their areas of specialty and many serve in pivotal academic research and leadership is also heavily involved in preparing tomorrows healthcare providers. DHMG has 84 medical school students and approximately 200 residents and fellows throughout the 25 academic programs. Clinical services are complemented with translational and bench research to augment medical education for residents and students. The mission of Dignity Health Medical Group is consistent with Dignity Healths mission and St. Josephs guiding principles with a focus on innovative clinical care and the pursuit of excellence through scholarly activities. As part of the Dignity Health hospital system DHMG has full access to the staff and all facilities on our hospital campuses. This unique relationship with our hospital allows Dignity Health Medical Group to provide its patients with state-of-the-art patient services including care of the poor and for us on Facebook and follow us on the health of our community ... we are proud to announce that we are a tobacco-free campus
Responsibilities
The Coder II reviews and processes complex specialty clinic professional charges for assigned business unit(s). This position works closely with medical group Physicians and Providers to ensure all services billed are supported by the documentation and correctly coded for maximum reimbursement.
- Codes complex office surgical and hospital professional charge for assigned providers.
- Reviews all ICD E&M CPT and HCPCS codes to ensure documentation supports all services rendered.
- Queries providers as needed when encounters lack clear or missing documentation in the medical record.
- As needed provides education to Physicians and Providers on coding and documentation.
- Assists clinic and other department staff with coding related questions pertaining to assigned providers.
- When requested codes missing charges identified for assigned providers.
- Attend clinic and other department meetings to act as a coding resource for assigned specialties.
- Maintain a current working knowledge of E&M CPT and ICD coding guidelines.
- Meet production standards set by Physician Coding Leadership.
- Meet quality standards set by Physician Coding Leadership.
- Reviews and corrects coding related denials to maximize reimbursement.
- Identifies analyzes and trends coding related denials to recommend areas of coding improvement for the organization.
- Works all patient coding dispute inquires in designated time periods.
- Perform other duties as assigned.
Qualifications
MINIMUM
High School Diploma or GED
1 year Professional fee coding experience.
Must have and maintain an in-depth knowledge of CPT ICD and HCPCS coding guidelines.
CPC or CCS-P Certification Required
PREFERRED
2 years surgical professional fee coding experience
GECB and Cerner experience
Employment Type
Unclear
