Reviews medical record documentation and may assign codes to medical diagnoses, procedures, and modifiers using appropriate coding classifications to support billing and compliance.
Responsibilities include maintaining coding knowledge, reviewing work queues and edits daily, seeking clarification from providers when needed, correcting coding and billing errors, validating ADT field accuracy, assigning basic CPT procedure codes and modifiers, reviewing APC and EAPG assignments, researching medical necessity edits, conducting audits and coding reviews, communicating with insurers regarding coding disputes, abstracting data for billing and quality reviews, submitting productivity reports, and maintaining coding quality and productivity standards.
The role also involves reviewing documentation to determine appropriate diagnosis, procedural, and modifier code assignments, including HCC coding, and coding outpatient diagnostic and therapeutic encounters with minimal procedural coding when applicable.
High school diploma or equivalent required.
Required certifications may include CCA, CCS, RHIA, or RHIT.
For HIM coder candidates: 1 year of hospital-based outpatient coding experience required.
For Physician Billing Coder candidates: 1 year of diagnostic/procedural office coding experience with surgical coding experience, or 6 months working within Memorial Health System.
Strong knowledge of anatomy, physiology, medical terminology, coding classification systems, and procedures required.
Must have critical thinking skills, effective communication skills, decisive judgment, and the ability to work independently with minimal supervision.
Must be proficient in basic computer skills and able to work in an electronic medical record system.
Location
Florida, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
Yes
Posted
2 weeks ago