Certified Medical Records Coder

Job Summary and Responsibilities

The Coder II reviews and processes complex specialty clinic professional charges for assigned business unit(s). This position works closely with clinic Physicians and Providers to ensure all services billed are supported by the documentation and correctly coded for maximum reimbursement.

• Applies coding principals consistent with government regulatory standards, payer specific guidelines, and company policy.
• Codes complex office, surgical and hospital professional charge for assigned providers.
• Reviews all ICD, E&M, CPT, and HCPCS codes to ensure documentation supports all services rendered.
• Queries providers, as needed, when encounters lack clear or missing documentation in the medical record.
• As needed, provides education to Physicians and Providers on coding and documentation.
• Assists clinic and other department staff with coding related questions pertaining to assigned providers.
• When requested, codes missing charges identified for assigned providers.
• Attend clinic and other department meetings to act as a coding resource for assigned specialties.
• Maintain a current working knowledge of E&M, CPT and ICD coding guidelines.
• Meet production standards set by Physician Coding Leadership.
• Meet quality standards set by Physician Coding Leadership.
• Reviews and corrects coding related denials to maximize reimbursement.
• You must be CPC, CCA, CCS or CCS-P

Job Requirements

MINIMUM

High School Diploma / GED or equivalent

1 year Professional fee coding experience.

Must have and maintain an in-depth knowledge of CPT, ICD, and HCPCS coding guidelines

Certified Professional Coder (CPC), Certified Coding Associate (CCA), Certified Coding Specialist (CCS) or Certified Coding Specialist- Physcian Based (CCS-P)

PREFERRED

2 years surgical professional fee coding experience

GECB and Cerner experience

Where You'll Work

Hello humankindness Located conveniently in the heart of Phoenix, Arizona, St. Joseph's Hospital and Medical Center is a 571-bed, not-for-profit hospital that provides a wide range of health, social and support services. Founded in 1895 by the Sisters of Mercy, St. Joseph's was the first hospital in the Phoenix area. More than 125 years later, St. Joseph's remains dedicated to its mission of caring for the poor and underserved. We are extremely proud to be a nationally recognized center for quality quaternary care, medical education and research. St. Joseph's includes the internationally renowned Barrow Neurological Institute, Norton Thoracic Institute, Cancer Center at St. Joseph's, Ivy Brain Tumor Center, and St. Joseph's Level I Trauma Center (which is verified by the American College of Surgeons). The hospital is also a respected center for high-risk obstetrics, neuro-rehabilitation, orthopedics, and other medical services. St. Joseph’s is considered a sought-after destination hospital for treating the most complex cases from throughout the world. Every day, approximately 20 percent of the hospital’s patients have traveled from outside of Arizona and the United States to seek treatment at St. Joseph’s. News & World Report routinely ranks St. Joseph's among the top hospitals in the United States for neurology and neurosurgery. In addition, St. Joseph's boasts the Creighton University School of Medicine at St. Joseph's, and a strategic alliance with Phoenix Children's Hospital. St. Joseph's is consistently named an outstanding place to work and one of Arizona's healthiest employers. Come grow your career with one of Arizona's Most Admired Companies. Look for us on Facebook and follow us on Twitter. For the health of our community ... we are proud to be a tobacco-free campus.