Physician Coding Specialist II

Role Overview

• Assign appropriate surgical and office procedural and diagnostic (CPT
• E/M, surgical and ICD) codes to individual patient health information
• Abstract pertinent data and resolve edits within specified time frames.
• Review and evaluate patient medical records to determine the level of Evaluation and Management (E/M) service, identify office non-E/M procedures, surgical and interventional procedures and diagnoses.
• Accurately assign and sequence CPT, modifiers and ICD codes.
• Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes.

Requirements

• High School diploma or equivalent required
• Certification in coding (CPC, COC, CCS, CCS-P, RHIA, RHIT) required
• Minimum one year of physician office coding experience required
• Formal training in CPT and ICD coding or previous work experience utilizing ICD and CPT coding principles is required
• Comprehensive knowledge of procedure and diagnostic coding for professional services and Medicare, Medicaid and other 3rd party payer coding and billing regulations.
• Demonstrated knowledge of Evaluation and Management Documentation Guidelines and other professional documentation requirements.

Benefits

• Health insurance
• Paid time off
• Professional development opportunities