Physician Coder I

Position Summary Accurately and efficiently accesses wide range specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. Candidates are eligible to work remote from the listed states: FL, GA, AZ, TX, AL Responsibilities Essential Functions • Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems. • Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS-all levels) • Verifies billable physician services by reviewing physician documentation for adherence to the "Physician at Teaching Hospital" rules set forth by the federal government. • Submits to their Senior Coder any issues or trends found within the documentation of a particular physician for evaluation and follow up. • Assembles and inputs coding results into the current Practice Management billing system to expedite proper billing. • Collaborates with members of the specialty team to monitor and satisfy corporate financial goals within their specialty. • Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (i.e., Insurance Denials) • Communicates effectively with physicians, physician extenders, physician offices, members of the coding team and managers. • Utilizes resource material available in department to support accurate coding practices. • Maintains patient confidentiality. • Demonstrates good communication skills both verbal and written. • Maintains 90% accuracy rate. • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards. • Maintains compliance with all Orlando Health policies and procedures. Other Related Functions • Participates in meeting department goals. • Maintains productivity standards as designated by management. • Assumes responsibility for own professional growth and development through educational programs, research, etc. • Maintains certification status. • Performs other related duties as assigned Qualifications Education/Training • High School Diploma or equivalent. • Computer/typing literacy, working knowledge of Anatomy, Physiology and Medical terminology required. • Thorough knowledge of CPT, ICD-10 and HCPCS as evidenced by results of coding skills test of 80% or better. Licensure/Certification Must maintain one of the following national certifications: • Certified Professional Coder-Apprentice (CPC-A) through the American Academy of Professional Coders • Certified Professional Coder (CPC) through the American Academy of Professional Coders • Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA) • Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA) • Certified Coding Associate (CCA) through the American Health Information Management Association (AHIMA) • Certified Medical Coder (CMC) through Practice Management Institute Experience • Minimum of one (1) year coding experience in professional/physician practice coding. • Proficient in multi-specialty E/M coding is preferred Education/Training • High School Diploma or equivalent. • Computer/typing literacy, working knowledge of Anatomy, Physiology and Medical terminology required. • Thorough knowledge of CPT, ICD-10 and HCPCS as evidenced by results of coding skills test of 80% or better. Licensure/Certification Must maintain one of the following national certifications: • Certified Professional Coder-Apprentice (CPC-A) through the American Academy of Professional Coders • Certified Professional Coder (CPC) through the American Academy of Professional Coders • Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA) • Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA) • Certified Coding Associate (CCA) through the American Health Information Management Association (AHIMA) • Certified Medical Coder (CMC) through Practice Management Institute Experience • Minimum of one (1) year coding experience in professional/physician practice coding. • Proficient in multi-specialty E/M coding is preferred Essential Functions • Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems. • Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS-all levels) • Verifies billable physician services by reviewing physician documentation for adherence to the "Physician at Teaching Hospital" rules set forth by the federal government. • Submits to their Senior Coder any issues or trends found within the documentation of a particular physician for evaluation and follow up. • Assembles and inputs coding results into the current Practice Management billing system to expedite proper billing. • Collaborates with members of the specialty team to monitor and satisfy corporate financial goals within their specialty. • Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (i.e., Insurance Denials) • Communicates effectively with physicians, physician extenders, physician offices, members of the coding team and managers. • Utilizes resource material available in department to support accurate coding practices. • Maintains patient confidentiality. • Demonstrates good communication skills both verbal and written. • Maintains 90% accuracy rate. • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards. • Maintains compliance with all Orlando Health policies and procedures. Other Related Functions • Participates in meeting department goals. • Maintains productivity standards as designated by management. • Assumes responsibility for own professional growth and development through educational programs, research, etc. • Maintains certification status. • Performs other related duties as assigned