What are the responsibilities and job description for the Certified Physician Coder position at Goshen Health?
Summary
The Certified Physician Coder (CPC) is responsible for accurate and complete charge tickets processed for billing, insurance filing, and revenue reporting. Accurate translation of patient information into alphanumeric medical codes by referencing patient treatment, health history, diagnosis, and related information. Areas of responsibility include the verification of coding and posting physician, hospital and office services including surgical procedures, inpatients, Emergency Department and office visits for the specialty providers within Goshen Physicians. Communicates regulatory coding updates & policies with providers and management team. Provides ongoing education on current CPT and ICD-CM coding. Serves as a coding resource to Goshen Health physician offices and ancillary departments.
Assists with ICD-CM, CPT and HCPCS coding for reimbursement. The coding function promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement and also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.
Cardiology experience strongly preferred.
Position Qualifications
- Minimum Education: High School Diploma or GED equivalent required. Working knowledge of insurance claims process and a general understanding of insurance policies that govern insurance plans. Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) is required or current enrollment in CPC certification course. Certification course must be passed within first 6 months of employment. The incumbent is expected to enroll in continuing education courses to maintain certification. Six to twelve months would be required to become proficient in most phases of the job.
- Preferred Education: Associate’s degree in health information technology or nursing from an accredited college or university or the equivalent. Specialized training in billing and coding preferred.
- Minimum Experience: One to two years previous work experience in a physician office or medical related position with knowledge of medical terminology, and physician office billing and coding.
- Preferred Experience: 1-year experience in assigning ICD-CM and CPT coding.
- Certifications Required: Certified Physician Medical Coder
