Professional Coder Iii, Revenue Cycle Medical Group

Description

WHAT IT'S LIKE AT SGMC HEALTH

Purpose. No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place.

Excellence. We strive to do the right thing the right way, are accountable in all we do, require competence of our people, and are compassionate in our service.

Team Spirit. We encourage team effort, support personal and professional development, acknowledge individual talents and skills, and support innovation and empowerment.

Award Winning Performance. We are committed to providing the best care possible and we are proud to be recognized locally, statewide, and nationally for the exceptional care that our staff provides.

• Low Healthcare Insurance Premiums
• 401(k) with employer match
• Paid Time Off (PTO)
• Employee discounts
• Company paid life insurance
• Short-Term and Long-Term Disability
• Cancer Insurance
• Accident Insurance
• Pet Insurance
• Tuition Reimbursement
• On-the-job training and skills development
• Opportunities for growth and advancement
• Employee Assistance Program

JOB LOCATION : SGMC Patient Financial Services

DEPARTMENT: REVENUE CYCLE MEDICAL GROUP

SCHEDULE: Full Time, 8 HR Day Shift, 8-5

Abstracts ICD-10 and CPT codes for Diagnosis and Procedures for professional services. Serves as a mentor to Professional Coders I and Professional Coder II. Reviews and analyzes medical records verifying and coding the diagnosis, evaluation and management service, minor procedures, or other codes required for the completeness and accuracy of the record. Additionally, will code and/or review principal diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, any applicable supply, medication, and injectable drugs.

Research coding guidelines and report to management any material to ensure accurate coding practices. Maintains communication with Management, Practice Manager, and Provider to ensure timely notification of identified documentation issues. Interacts with other team members of the revenue cycle and provider clinics. Responsible for continuing education of all clinical staff members and providers. Must have highly effective and professional written and verbal communication skills.

Knowledge of legal, regulatory and policy compliance issues regarding medical coding, billing, and documentation. Maintains an accuracy score of 95% or higher for CPT and ICD-10 coding. Responsible for attending all mandatory education sessions and continuing education credits required to maintain CPC certification. Must be able to meet competing deadlines, be highly organized, goal driven, and work well with others.

• Certified Professional Coder (CPC) required or Certified Coding Specialist (CCS, CCS-P).
• Previous coding experience required.
• Specialty certification through AAPC or Ahima highly desired.
• Proficiency in multispecialty E/M and bedside procedure coding required.
• Proficiency in at least 1 specialty surgical coding required, (multispecialty surgical coding is desired).
• Experience working in a physician office preferred.
• High School graduate or equivalent.
• Knowledge of anatomy and physiology, medical terminology, ICD-10, HCPCS, and CPT required.
• Good communication skills essential.
• Medical Office setting experience preferred.
• Time management skills.
• Demonstrates initiative to provide quality of services and improve efficiencies.
• Proficient in Microsoft Office, especially Excel and Teams.

Coder may spend long hours working at computer terminal. Must be able to see and read names, numbers, and colors. The Coder is subject to high stress levels. The coder must have and maintain reliable high-speed internet and is able to agree to organizations IT Security policies for remote access work.

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