Senior Physician Professional CoderHCA Healthcare • Remote, Oregon, United States
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Senior Physician Professional Coder
HCA Healthcare
- Remote, Oregon, United States
- Remote, Oregon, United States
Über
Responsible for performing highly complex CPT, HCPCS, and ICD-10-CM coding for professional claims billed by Capital Health Medical Group (CHMG) for hospital and outpatient procedures. Provides expert-level coding, supports provider documentation improvement, resolves complex billing issues, conducts coding reviews of staff, and serves as a resource and mentor to coding staff. Provides assistance and support to the manager as it relates to time management, delegation of workflow tasks and responsibilities, knowledge of industry guidelines, laws and regulations. Reviews procedure documentation for accurate assignment of ICD-10-CM diagnosis, current procedural terminology (CPT-4) codes and modifiers. Ensures appropriate coding of evaluation and management (E&M) services when applicable. Assists in management of professional coding team workflow to assure timely and efficient coding. Provides second level scrutiny of procedural documentation as well as code assignment to optimal and compliant coding. Shares expertise in professional coding with team members to resolve complex coding issues and build skill level and proficiency. Conducts internal coding reviews to ensure accuracy, compliance, and documentation sufficiency. Contacts and collaborates with appropriate personnel for documentation insufficiencies to expedite resolution of accounts. Meets or exceeds departmental accuracy and productivity standards. Fosters teamwork and collaboration. Collaborates with CHMG providers to explain coding requirements and documentation standards. Ensures compliance with national coding guidelines and Capital Health's policies for complete, accurate, and consistent coding resulting in appropriate reimbursement and data integrity. Performs coding duties and reviews CCI edits, MUE edits, LCD, and NCD coverage before chart finalization. Assists with onboarding, training, and mentoring of new staff. Supports system upgrades, coding tool enhancements, EMR changes, and new specialty rollouts. Assists in management of professional coding pre-bill edits timely to ensure minimal days in DNFB. Supports continuous process improvement efforts to enhance coding outcomes. Maintains level of expertise through continuing education. Performs other duties as assigned. Requirements:
High school diploma or equivalent. Certified Professional Coder-Apprentice (CPC-A), Certified Professional Coder (CPC), or Certified Coding Specialist-Physician (CCS-P) certification required. Associate's degree in health information management preferred. Three years' experience in physician coding role with surgical coding experience required using ICD-10-CM, CPT-4, and HCPCS. Excellent verbal and written communication skills. Strong knowledge of surgical coding guidelines. Knowledge of pathophysiology and disease processes. Special Training: Physician coding and Training certification. Proficient with Microsoft applications: Outlook, Word, Excel, PowerPoint. Medical Terminology, Anatomy and Physiology, or Pathophysiology knowledge. Benefits:
Medical Plan Prescription drug coverage & In-House Employee Pharmacy Dental Plan Vision Plan Flexible Spending Account (FSA) - Healthcare FSA - Dependent Care FSA Retirement Savings and Investment Plan Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance Supplemental Group Term Life & Accidental Death & Dismemberment Insurance Disability Benefits – Long Term Disability (LTD) Disability Benefits – Short Term Disability (STD) Employee Assistance Program Commuter Transit Commuter Parking Supplemental Life Insurance - Voluntary Life Spouse - Voluntary Life Employee - Voluntary Life Child Voluntary Legal Services Voluntary Accident, Critical Illness and Hospital Indemnity Insurance Voluntary Identity Theft Insurance Voluntary Pet Insurance Paid Time-Off Program
Sprachkenntnisse
- English
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