E&M Coder

POSITION SUMMARY:

Understand clinical content of a health record and assign appropriate ICD-10, HCPCS, and CPT codes in accordance with official guidelines.

Responsibilities:

• Review operative reports to abstract information and apply CPT, HCPCS, and ICD-10-CM codes

• Verify LCD/NCD information as appropriate

• Utilize NCCI edits, AMA CPT Assistant, AHA Coding Clinic, and other resources as needed

• Initiate physician queries as needed

• Escalate coding/documentation problems when appropriate

• Participate in ongoing coding education

• Perform other related duties as required/assigned

• Other responsibilities as assigned

• Ability to analyze and interpret data with minimal supervision.

• Ability to work independently and prioritize workload with little or no supervision in a fast-paced environment.

• Ability to collaborate and interact with various departments.

• Ability to sit for prolonged periods of time to perform repetitious tasks.

  Requirements

• Coding certification through AAPC or AHIMA (CPC, COC, RHIT, CCS, etc., no apprentice designation accepted at this time)

• One year experience with outpatient coding.

• Minimum 2 years of experience as a E&M.

• Comprehensive knowledge of medical terminology, anatomy, and physiology, and diagnostic and procedural coding (CPT, ICD-10, and HCPCS).

• Computer experience utilizing various systems, applications, and websites, i.e. Microsoft Work, Excel, Adobe, super coder, etc.

• Ability to access and recognize appropriate electronic documents and medical record contents necessary for coding.

• Analyze and resolve coding review questions, denials, and assist with appeals process.

• Effectively communicate coding methodologies and documentations best practices with coworkers.

• Knowledge of Medicare, Medicaid, and State regulations.

Preferred Knowledge, Skills, Abilities & Education:

• University certificate in healthcare related field
• 2+ years Ambulatory Surgical Center coding experience

Roles and Responsibilities

POSITION SUMMARY:

Understand clinical content of a health record and assign appropriate ICD-10, HCPCS, and CPT codes in accordance with official guidelines.

Responsibilities:

• Review operative reports to abstract information and apply CPT, HCPCS, and ICD-10-CM codes

• Verify LCD/NCD information as appropriate

• Utilize NCCI edits, AMA CPT Assistant, AHA Coding Clinic, and other resources as needed

• Initiate physician queries as needed

• Escalate coding/documentation problems when appropriate

• Participate in ongoing coding education

• Perform other related duties as required/assigned

• Other responsibilities as assigned

• Ability to analyze and interpret data with minimal supervision.

• Ability to work independently and prioritize workload with little or no supervision in a fast-paced environment.

• Ability to collaborate and interact with various departments.

• Ability to sit for prolonged periods of time to perform repetitious tasks.

  Requirements

• Coding certification through AAPC or AHIMA (CPC, COC, RHIT, CCS, etc., no apprentice designation accepted at this time)

• One year experience with outpatient coding.

• Minimum 2 years of experience as a E&M.

• Comprehensive knowledge of medical terminology, anatomy, and physiology, and diagnostic and procedural coding (CPT, ICD-10, and HCPCS).

• Computer experience utilizing various systems, applications, and websites, i.e. Microsoft Work, Excel, Adobe, super coder, etc.

• Ability to access and recognize appropriate electronic documents and medical record contents necessary for coding.

• Analyze and resolve coding review questions, denials, and assist with appeals process.

• Effectively communicate coding methodologies and documentations best practices with coworkers.

• Knowledge of Medicare, Medicaid, and State regulations.

Preferred Knowledge, Skills, Abilities & Education:

• University certificate in healthcare related field
• 2+ years Ambulatory Surgical Center coding experience