Coder I - Physician Business Coding- Days - FT

Job Description

The Coder I is responsible for performing International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding for primary care billing, case mix, and data collection purposes. The Coder I performs reviews of patient charts and validates coding for accuracy and capture of all billable charges. The Coder I maintains data integrity within the hospital information systems.

Responsibilities

Assigns ICD and CPT codes to patient diagnoses and procedures for primary care services

• Assess the accuracy and completeness of all information provided in documentation
• Assign codes for procedures, services, and diagnosis by following set classification systems
• Identify chargeable services/items for emergency and ancillary visits and ensures that all charges are accurately billed into the system
• Code and post procedures and accurately assign CPT and ICD codes to them
• Prioritizes assignments according to established criteria and to decrease pending accounts
• Contacts or queries physician when additional information or clarification is needed to code

Reviews documentation and coding for accuracy and practices compliance with coding guidelines and protocols

• Validates documentation and ICD/ CPT codes and modifiers
• Performs compliance edits on primary care records, and ensures discrepancies are resolved
• Reviews abstracted and statistical data for corrections and submits findings to leader
• Maintains knowledge of coding guidelines and protocols

Utilizes the Electronic Health Record system and other related computer systems and software

• Selects appropriate assignments for coding/abstracting from work queues
• Enters coded and abstracted data appropriately for use within the hospital information system
• Maintains data integrity through review of the overall completeness, accuracy, and consistency of data within relevant systems

Qualifications

Education: High School Diploma or equivalent.

Experience: One year performing clerical work or data entry.