Physician Coding Specialist II
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Job Description
Coding Specialist responsible for assigning surgical and office procedural codes for patient health information at Mount Carmel Medical Group. This role involves resolving edits and maintaining coding standards.
Responsibilities:
- Assign the appropriate surgical and office procedural and diagnostic (CPT - E/M, surgical and ICD) codes to individual patient health information.
- Utilizes advanced knowledge of specialty coding, including surgical procedures.
- Abstract pertinent data and resolve edits within specified time frames.
- Exhibit Mount Carmel Service Excellence Behavior Standards holding self and others accountable.
- Meet population specific and all other competencies according to department requirements.
- Create a caring and healing environment that keeps the patient and family at the center of care.
- Reviews and evaluates patient medical records to determine the level of Evaluation and Management (E/M) service.
- Queries physicians for clarification in coding purposes when needed.
- Keeps abreast of coding guidelines and brings identified concerns to manager.
- Monitors and investigates records that are not coded, billed or rejected.
- Responsible for enhancing coding skills to enable accurate and timely coding.
Requirements:
- High School diploma or equivalent required.
- Certification in coding (CPC, COC, CCS, CCS-P, RHIA, RHIT) required.
- Formal training in CPT and ICD coding or previous work experience utilizing ICD and CPT coding principles is required.
- Effective Communication Skills
- Minimum one year of physician office coding experience required.
- Comprehensive knowledge of procedure and diagnostic coding for professional services and Medicare, Medicaid and other 3rd party payer coding and billing regulations.
- Demonstrated knowledge of Evaluation and Management Documentation Guidelines and other professional documentation requirements.
- Self-motivated and people-oriented with the ability to foster a work environment of open communication, trust, support and active employee participation.
Benefits:
- Health insurance
- 401(k) matching
- Flexible working hours
- Paid time off
- Professional development opportunities
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