Position: Medical Coder
Reports to: Coding Manager and Executive Director
Exempt/Non: Non-Exempt
Requirements:Equivalent of an Associates Degree and two to three years of related compliance experience and knowledge of CPT and ICD 10 coding. Medical Coding Certification, CPC and CEDC preferred.
Position summary: Reviews medical records for completeness and to abstract and code clinical data, such as diseases, operations, procedures, and therapies, using
standard classification systems.
Adhere to work schedule assigned:
- Attend periodic staff meetings
- Comply with work rules
- Maintain established productivity and quality standards - 20 charts/per hour
- Complete other duties that may vary from time to time assigned by your supervisor
- Participate in compliance activities
Coding Duties:
- Assign CPT and ICD 10-CM in accordance with established payer guidelines
- Participate in peer review of coded medical records
- Review physician documentation for completeness
- Provide feedback to physician’s individual and/or as a group
- Assist billing staff in reviewing denials for CPT, ICD 10 and modifiers
- Assist in new physician orientation
Denials:
- Coordinate and collate denials for CPT, ICD 10 and modifiers
- Assist with monitoring and resolving any coding or corporate compliance concerns
- Assist the Coding Manager and Executive Director as needed to support and promote the goals of Prestige Billing Services
Physical Requirements
- Lift up-to 15lbs
- Work on a computer for prolonged periods of time
- In-house for training period, then remote work from home