Coder Physician

Essential Job Functions

- Responsible for abstracting, coding, sequencing , and interpreting clinical information from inpatient, outpatient, emergency department, pro-fee, and clinical medical records.
- Responsible for assigning correct principal diagnoses, secondary diagnoses, and principal procedure and secondary procedure codes, with attention to accurate sequencing.
- Utilizes technical coding principles and DRG/APC reimbursement expertise to assign appropriate codes.
- Abstracts and codes pertinent medical data into multiple software programs and/or encoders. Follows official coding guidelines to review and analyze health records.
- Maintains compliance with both external regulatory and accreditation requirements and state and federal regulations .
- Extract pertinent data from the patient’s health record and determine appropriate coding for reports and billing documents.
- Identifies codes for reporting medical services and procedures performed by physicians. Enters codes into various computer systems dependent upon the various clients.
- Track and document productivity in specified systems and maintain productivity levels defined by the client.
- Maintain a 95% quality rating.
- Perform duties in compliance with the Company’s policies and procedures, including, but not limited to, those related to HIPAA and compliance.

Key Success Indicators/Attributes

- Ability to prioritize and multi-task in a fast-paced, changing environment.
- Demonstrate ability to work in all work types and specialties.
- Demonstrate ability to self-motivate, set goals, and meet deadlines.
- Demonstrate leadership, mentoring, and interpersonal skills.
- Demonstrate excellent presentation, verbal, and written communication skills.
- Ability to develop and maintain relationships with key business partners by building personal credibility and trust.
- Maintain courteous and professional working relationships with employees at all levels of the organization.
- Demonstrate excellent analytical, critical thinking and problem-solving skills.
- Skill in operating a personal computer and utilizing a variety of software applications.
- Knowledge of coding convention and rules established by the AHIMA , American Medical Association (AMA), the American Hospital Association (AHA) and the Center for Medicare and Medicaid (CMS), for assignment of diagnostic and surgical procedural codes.
- Knowledge of JCAHO, coding compliance and HIPAA HITECH standards affecting medical records and the impact on reimbursement and accreditation.

2 years experience