Physican Coder

Department:
HIM

Schedule/Status:

7:30am-4:00pm; Full Time

Standard Hours/Week:

40

General Description:

Under the general supervision of the Coding Manager, this position is responsible for converting diagnoses and procedures for professional claims into codes using the appropriate code set. The Physician Coder will ensure that encounters are coded in an accurate and timely manner, as well as work closely with physicians and allied health professionals to consistently and accurately translate clinical documentation into ICD-10-CM, CPT, and APC codes. The position shall exemplify the desired Culture of Choice® and philosophies of Parrish Healthcare.

Key Responsibilities:

• Assigns and sequences diagnosis codes, procedures, modifiers, and charge levels using ICD-10-CM, CPT, and HCPCS codes based on provider documentation in the medical record.
• Consults the provider for clarification when conflicting or ambiguous documentation is present. Queries the provider to add information to the record before assigning a code that is not supported by documentation.
• Monitors documentation turnaround time and productivity and follows up on uncoded accounts or with providers and other clinical staff as needed.
• Assures the medical record documentation and diagnoses are valid and complete prior to final coding an encounter.
• Offers coding and classification services education to any and all clinicians (e.g. provide pertinent official coding guidelines).
• Follows the Inpatient and Outpatient Professional (Provider) Coding Compliance Plan at all times including adhering to all official coding guidelines and ethical coding standards.
• Maintains established productivity and accuracy standards consistently.
• Performs similar or related duties as assigned.
• Knows fire, disaster and safety procedures and regulations as it pertains to the work area

Requirements:

Formal Education:

• Vocational or other Technical School, certification, apprenticeship required. Completion of college level courses or relevant experience in anatomy, physiology, and medical terminology required. Completion of coding courses in ICD-10-CM, CPT4, HCPCS, E/M, and applicable grouper coding schemes required.

Work Experience:

• 1 year to < 2 years

Required Licenses, Certifications, Registrations:

• Medical Terminology, Coding Classes, Human Anatomy Classes, RHIA, RHIT, CCS or CPC-H certified within one (1) year of employment.

Full Time Benefits:

Eligible to participate in a number of PMC-sponsored benefits, including:

• Benefits Start on Day 1
• Health, Dental and Vision Insurance
• 403(b) Retirement Program
• Tuition Reimbursement/Educational Assistance
• EAP, Flex Spending, Accident, Critical and Other Applicable Benefits
• Annual Accrual of 152 Personal Leave Bank (PLB) Hours