What are the responsibilities and job description for the Physician Coder II position at Bayfront Health?
Position Summary
Accurately and efficiently accesses wide range specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services.
Fully remote in FL, GA, AZ, TX, AL
Responsibilities
Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems. • Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS–all levels)• Verifies billable physician services by reviewing physician documentation for adherence to the “Physician at Teaching Hospital” rules set forth by the federal government.• Submits to their Senior Coder any issues or trends found within the documentation of a particular healthcare provider for evaluation and follow up.• Collaborates with members of the specialty team to consistently monitor financial goals within their specialty to satisfy corporate goals.• Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (i.e., Insurance Denials)• Communicates effectively with physicians, physician extenders, physician offices, members of the coding team and manager.
Qualifications
Education/Training• High school diploma or equivalent.• Computer/typing literacy, knowledge of Anatomy, Physiology and Medical terminology required.• Thorough knowledge of CPT, ICD coding as evidenced by results of coding skills test of 80% or better.
Licensure/CertificationOne of the following national certifications:• Certified Professional Coder (CPC) through the American Academy of Professional Coders• Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA) • Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA)• Certified Coding Associate (CCA) through the American Health Information Management Association (AHIMA) • Certified Medical Coder (CMC) through Practice Management Institute
Experience• Three (3) years certified coding experience in professional or physician practice coding.• Proficiency in multi-specialty E/M coding along with minor bedside procedure coding is preferredo Knowledge of surgical coding is desired