Coder - Physician Office

Overview

Description: Reviews all assigned charge review errors and claim edits, ensuring correct charge capture and coding with proper ICD-10, CPT, HCPCS codes, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. May require analyzing medical documentation to verify principal and secondary diagnoses and procedures; assigning diagnostic codes, procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS);

performing data entry to capture charges not submitted by provider and performing discrepancy resolution. Serves as a liaison between Centralized Coding/Revenue Site Operations and clinical sites/departments. Assists in orienting and training new employees in the coding and charge capture area as well as cross-training established coders in new specialties. Fully remote

Employment Type: Full time

Shift: Day Shift

Captures, reviews and accepts all charge information into practice management system for assigned providers, ensuring correct charge entry with proper CPT & ICD-9/ICD-10 codes, as well as proper modifiers, adhering to Trinity Health practices and policies. May require analyzing medical record and encounter form documentation to verify principal and secondary diagnoses and procedures; assigning diagnostic codes, procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS);

performing data entry; and performing discrepancy resolution. Serves as a liaison between CBO and sites/departments. Assists in orienting and training new employees in the coding and charge capture area.

• Minimum - Applicants will take the departmental coding assessment during the interview process. Assessment results will be used in the hiring process as a skillset measurement.
• Requirement – CPC or CCS accreditation. CPC-A or CCS-P also considered
• Minimum - One to three years of experience in a medical office coding setting.
• Preferred - Prior experience in coding for primary care and medical practice specialties, such as, family practice, pediatrics, general practices and specialties including but not limited to neurosurgery, OB/GYN, thoracic, pulmonary, vascular and diabetes/endocrine. Multi-specialty experience a plus.
• Effective verbal, written, and interpersonal communication skills with the ability to comfortably interact with diverse populations.
• Ability to work collaboratively in a team-oriented environment with a strong customer-service orientation.
• Ability to work remotely from home following Trinity remote work guidelines.
• Ability to handle patient and organizational information in a confidential manner.
• Demonstrated dependability and regular attendance.
• Ability to demonstrate competency with a standard desktop and Windows-based computer system, including a basic understanding of email, e-learning, intranet and computer navigation. Ability to use other software as required to perform the essential functions of the job.
• Solid understanding of ICD-10, HCPCS and CPT coding and medical terminology, with knowledge of Medicare, Medicaid, Health Maintenance Organization and commercial insurance plans.
• Ability to maintain accurate records and to prioritize and organize work effectively.
• Ability to utilize resource tools such as Code Correct, 3M, NCCI/LCD Edits, as well the ability to research procedures when determining correct coding.
• Ability to exercise independent judgment as appropriate within standard practices and procedures.

• Performs accurate resolve of assigned ambulatory and office-based charge review errors and claim edits in Epic, keeping WQ aging < 2 days.
• Detailed in code selections. Maintains accuracy of 95% or greater.
• Reviews ambulatory/office notes to appropriately determine ICD-10, CPT, HCPCS, and modifier assignment.
• Researches all information needed to complete coding process.
• Follows daily, weekly & monthly productivity requirements.
• Resolves coding discrepancies related to coding and revenue capture.
• Participates in the liaison process between the Centralized…