JOB SUMMARY
RESPONSIBILITIES :
- Responsible for conducting internal audits of coding and documentation to ensure compliance with coding guidelines and federal and state regulations.
II. TYPICAL PHYSICAL DEMANDS :
Essential : sitting, stooping / bending, finger dexterity, seeing, hearing, speaking, lifting, and carrying usual weight of 5 pounds, repetitive arm / hand motions, static gripping of an object for prolonged periods, frequent gripping of an object.Occasional : standing, walking, kneeling, climbing stairs, squatting, twisting body, lifting weight up to 10 pounds, pushing / pulling usual weight of 2 pounds up to 5 pounds of force, reaching above, at and below shoulder level.Operates computer, calculator, and telephone.III. TYPICAL WORKING CONDITIONS :
Not substantially subjected to adverse environmental conditions.IV. MINIMUM QUALIFICATIONS :
A. EDUCATION / CERTIFICATION AND LICENSURE :
Certification as an Outpatient Physician Coder (CPC) or Certified Coding Specialist -Physician based (CCS-P) required.Certification as Medical Auditor (CPMA) preferred.B. EXPERIENCE :
Minimum two (2) years experience in physician coding, preferably in a comparable organization.Experience to demonstrate the following :o Knowledge of CPT-4, ICD-9 and ICD-10 CM coding.
o Knowledge of medical terminology and abbreviates.
o Proficient in Evaluation and Management coding.
o In depth knowledge of PATH, incident to and split shared.
o Proficient in Microsoft Office applications (i.e. Excel, PowerPoint, Word).
Experience in auditing and physician education of CPT preferred.