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

Essential Functions