Position is responsible for coding physician and/or mid-level provider professional services. The role requires accurate, timely handling of a high-volume workload with minimal direct supervision.
This position supports a team-based approach to care and may involve coding across 1 to 4 specialties. Specialty areas can include UR, Podiatry, Plastics, Pediatrics, OB, Pain Management, Orthopedics, Addiction, General Surgery, Internal Medicine, Urgent Care, Pulmonary, and Emergency Department services.
Work includes CPT, HCPCS, and ICD-10-CM coding for professional and facility-related encounter types, along with review and correction of coder claim edits, payer denials, and charge corrections as needed.
The role must be performed effectively in a remote work capacity and requires ongoing compliance with productivity and quality standards.
Required Qualifications
- Knowledge of anatomy and physiology, disease pathology, and medical terminology
- Knowledge of basic coding conventions and CMS Official Guidelines for Coding and Reporting ICD-10-CM
- Ability to accurately translate diagnostic descriptions into ICD-10-CM, CPT, and/or HCPCS codes
- Ability to navigate the electronic medical record to identify appropriate coding documentation
- Minimum of 2 years of actual coding experience in a physician office or hospital HIM department
- Data entry and keyboard proficiency
- Software/computer experience with Excel, MS Word, and Adobe
- Current CPC registration; CBCS accepted only for current Erlanger staff grandfathered into the role
- Validation of coding certification from an accredited program
Preferred Qualifications
- BS or AS degree in Health Information Management Administration or Health Information Technician, or a 4-year bachelor's degree
- Experience with E&M and/or surgical coding
- Physician office experience
- One year of Epic systems experience
- Ability to audit E&M levels for correct assignment
- Specialty coding certification
Additional Expectations
- Maintain knowledge of National Correct Coding Initiatives, Local Coverage Documents, MUEs, and Medicare Teaching Physician Guidelines
- Apply ICD-10-CM, CPT, and HCPCS accurately and with attention to documentation specificity
- Communicate with physicians and non-physician providers to resolve documentation conflicts
- Resolve payer denials and respond to revenue cycle inquiries
- Maintain certification and continuing education requirements
Location
Tennessee, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 week ago