Portland, OR ICSP Medical Coder
Portland, OR - USA
Job Summary
- Proficiency with ICD-10-CM/PCS CPT HCPCS and E&M coding
- Knowledge of Correct Coding Initiative (CCI) Bundling Guidelines
- Ability to apply modifiers: GR G8 QK QX QS QY G9 and others as appropriate
- Familiarity with VA VistA/CPRS system (preferred or willingness to train)
- Proficiency with VA-required coding software/encoder
- Knowledge of DRG assignment and PCS coding for inpatient procedures
- Understanding of POA (Present on Admission) coding
- Ability to code all PCS procedure types per SOW list (cardiac cath mechanical ventilation excisional debridement dialysis chemotherapy PICC/central line etc.)
- Knowledge of 2021 E&M guidelines
- Ability to identify billable vs. non-billable encounters (SC conditions Agent Orange Ionizing Radiation RNB reasons)
- Strong productivity: minimum 90 outpatient encounters per 8-hour day
- Maintain a 95% coding accuracy rate
- Remotely access VA Portlands VistA/CPRS system to review and code medical records
- Assign accurate ICD-10-CM/PCS CPT and HCPCS codes for outpatient encounters and inpatient admissions
- Enter all codes provider names modifiers and diagnoses into the approved coding application
- Associate provider and diagnosis with each CPT code performed
- Code all outpatient cases within 7 days of receipt; inpatient within 7 days of discharge
- Code priority cases within 1 day of receipt
- Participate in ongoing quality audits (minimum 5% of coded encounters reviewed weekly)
- Maintain weekly status reports with breakdown of charts/encounters coded
- Develop corrective action plans if accuracy falls below 95%
- Complete re-review of any coded data flagged during VAs pre-bill process or upon denial
- Destroy any paper-based record copies upon completion of coding assignments
- Complete all VA-required annual privacy and security training
- Abide by AHIMA Standards of Ethical Coding
Prime Physicians is a physician-led The Joint Commission (TJC) Accredited ISO 9001 certified and CMMI Level 3 appraised organization. Our commitment extends beyond traditional consulting and management services offering comprehensive solutions to hospitals health systems and federal government agencies. At the heart of our operations is the ultimate goal to deliver high-quality patient care. Driven by a mission to catalyze healthcare transformation and innovation we offer an array of services designed to redefine the healthcare landscape. From program and project management to strategic planning we enhance operational efficiency and streamline business processes. With Prime Physicians the future of patient care is in skilled and dedicated hands leading the way towards a more efficient effective and compassionate healthcare system.