What are the responsibilities and job description for the Coder - Physician Practice - CPC required position at VIRTUA?
Job Summary:
Responsible for abstracting clinical information and assigning CPT-4 and ICD-10 codes from medical records and documents to support physicians professional fees, including but not limited to outpatient evaluation and management (E/M) services and procedures in accordance guidelines.
Position Responsibilities:
• Abstract billing for outpatient evaluation and management codes, minor surgical procedure(s) and HCPCS (supplies and pharmaceuticals) codes from provider documentation to include; assignment of CPT-4, ICD-10-CM codes and modifiers.
• Research simple coding/billing issues for the physicians to identify and recommend the most appropriate method of coding/billing. Research may involve interaction with such organizations as American Medical Association, specialty societies, or other coding consultants.
• Analysis of the medical record to determine the appropriateness of coding and potential patterns of abuse. Including working with the Coding/Charge/Audit Analyst(s) to resolve the issue(s).
Position Qualifications Required / Experience Required:
- Minimum of 5 years in evaluation and management coding
- Ability to perform functions in a Microsoft Windows environment.
- Ability to be detailed oriented and perform tasks at a high level of accuracy.
- Ability to make sound decisions.
- Demonstrate good communication and team work skills.
- Previous experience with an electronic legal health record system preferred.
- Knowledge of Anatomy & Physiology/ Medical terminology required.
Required Education:
- High School Diploma or GED required.
- Knowledge of Anatomy & Physiology/ Medical terminology required
- CPC (Certified Professional Coder) Certified required
