Professional Medical Coder

• Codes 6-9 (# determined according to type of record coded) records per hour, consistently with 95% accuracy.
• Assigns diagnostic and procedural codes for physicians in the inpatient, outpatient, and observation setting.

• Applies sequencing guidelines based on medical record information provided according to official coding rules

• Identifies any documentation inadequacies with provider and clarifies medical record information with courtesy and tact.
• Retrieves any and all records corresponding to surgical cases including laboratory/path reports to ensure accurate assignment of ICD-10-CM and CPT-4 codes.
• Ensures accurate, correctly coded information is entered into Epic.

• Assists with coding queries for claims appeals and resolution.
• Refer ancillary department coding questions to Professional Coding Manager.

• Utilizes professional affiliations to maintain current in professional developments.
• Attends all pertinent coding seminars and manager assigned training.
• Utilize all available hospital-provided electronic resources.

Equivalent to an Associate's Degree in Medical Information Technology (with course work in medical terminology, anatomy, physiology, disease processes, ICD-10-CM coding required and prospective payment preferred).

Two to three (2-3) years in a surgical practice preferred.

CPC - Certified Professional Coder OR CCS-P Certified Coding Specialist
- Physician Based

Strong proficient computer and data entry skills to gather and interpret data.

Strong analytical skills to gather and interpret data.

Certified Coding Specialist - Physician Based - American Health Information Management Association (AHIMA), Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC)