About this role
Role Overview
- The Professional Fee Coder is responsible for accurately abstracting data into appropriate client electronic medical record systems
- Following the Official ICD-10-CM, CPT, and HCPCS Guidelines for Coding, AMA CPT Guidelines, Evaluation and Management Guidelines, and CMS directives
- Performs data entry of required abstracted patient information into the client’s information system
- Queries physicians when appropriate and interact with Clinical Documentation staff as per account requirements
- Maintains consistent coding accuracy rate of 95% or better while also meeting productivity standards
- Assigns appropriate ICD-10-CM, E/M, CPT, HCPCS codes and modifiers to professional fee accounts as per designated workflow
- Abstracts and enters coded data and/or charges for physician statistical and reporting requirements
- Queries physicians to clarify conflicting, imprecise, incomplete, ambiguous, and/or inconsistent clinical information when appropriate
- Communicates documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution
- Communicates with Clinical Documentation Improvement and/or Revenue Cycle teams for follow up and reconciliation of accounts
- Maintains required productivity and quality requirements
- Maintains coding credential requirements
Requirements
- Candidate must possess an approved AHIMA or AAPC coding credential
- Minimum 2 years’ coding experience required
- Abstract ICD, CPT, EM, MODS for various clinics
- Specialties to include Urgent Care, Ortho and Ancillary
- Alterra and 3M experience preferred
Benefits
- excellent salary
- full benefits package including 401(k) with company match
- medical
- dental
- vision
- life
- short/long term disability insurance
- PTO policy