Coder - Physician Office

Employment Type:

Full time

Shift:

Day Shift

Description:

Reviews all assigned charge review errors and claim edits, ensuring correct charge capture and coding with proper ICD-10, CPT, HCPCS codes, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. May require analyzing medical documentation to verify principle and secondary diagnoses and procedures; assigning diagnostic codes, procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS); performing data entry to capture charges not submitted by provider. and performing discrepancy resolution. Serves as a liaison between Centralized Coding/Revenue Site Operations and clinical sites/departments. Assists in orienting and training new employees in the coding and charge capture area as well as cross-training established coders in new specialties. Fully remote

Position Summary:

Captures, reviews and accepts all charge information into practice management system for assigned providers, ensuring correct charge 
entry with proper CPT & ICD-9/ICD-10 codes, as well as proper modifiers, adhering to Trinity Health practices and policies. May require analyzing medical record and encounter form documentation to verify principle and secondary diagnoses and procedures; assigning diagnostic codes, procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS); performing data entry; and performing discrepancy resolution. Serves as a liaison between CBO and sites/departments. Assists in orienting and training new employees in the coding and charge capture area.

What the Physician Office Coder will need:

• Minimum -    Applicants will take the departmental coding assessment during the interview process.  Assessment results will be used in the hiring process as a skillset measurement.
• Requirement –CPC or CCS accreditation.
• Minimum -   One to three years of experience in a medical office coding setting.
• Preferred -   Prior experience in coding for primary care and medical practice specialties, such as, family practice, pediatrics, general practices and specialties including but not limited to neurosurgery, OB/GYN, thoracic, pulmonary, vascular and diabetes/endocrine.  Multi-specialty experience a plus.
• Effective verbal, written, and interpersonal communication skills with the ability to comfortably interact with diverse populations.
• Ability to work collaboratively in a team-oriented environment with a strong customer-service orientation.
• Ability to work remotely from home following Trinity remote work guidelines.
• Ability to handle patient and organizational information in a confidential manner.
• Demonstrated dependability and regular attendance.
• Ability to demonstrate competency with a standard desktop and Windows-based computer system, including a basic understanding of email, e-learning, intranet and computer navigation.  Ability to use other software as required to perform the essential functions of the job.
• Solid understanding of ICD-10, HCPCS and CPT coding and medical terminology, with knowledge of Medicare, Medicaid, Health Maintenance Organization and commercial insurance plans.
• Ability to maintain accurate records and to prioritize and organize work effectively.
• Ability to utilize resource tools such as Code Correct, 3M, NCCI/LCD Edits, as well the ability to research procedures when determining correct coding.
• Ability to exercise independent judgment as appropriate within standard practices and procedures.

What the Physician Office Coder will do:

• Performs accurate resolve of assigned ambulatory and office-based charge review errors and claim edits in Epic, keeping WQ aging < 2 days.
• Detailed in code selections.  Maintains accuracy of 95% or greater.
• Reviews ambulatory/office notes to appropriately determine ICD-10, CPT, HCPCS, and modifier assignment.
• Researches all information needed to complete coding process.
• Follows daily, weekly & monthly productivity requirements.
• Resolves coding discrepancies related to coding and revenue capture.
• Participates in the liaison process between the Centralized Coding, Providers, Office Sites, and leadership.
• Obtains and maintains relevant education to perform essential functions; keeps coding credentials (CPT, RHIT) current at all times.
• Serves as a resource for practice sites.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.