CDI Specialist – Physician Professional Coders

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🕒 April 6

🇺🇸 United States – Remote

💵 $29 - $38 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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HCA Healthcare

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

🧬 Biotechnology

💰 Post-IPO Debt on 2014-06

Healthcare Insurance • Healthcare • Biotechnology

HCA Healthcare is a leading healthcare provider in the United States, dedicated to delivering high-quality medical services through a vast network of hospitals and outpatient facilities. They focus on enhancing patient care and improving health outcomes by utilizing advanced technologies and evidence-based practices. HCA Healthcare is committed to excellence and innovation in the health service sector.

📋 Description

• Facilitates compliant physician coding and documentation for accurate assignment of diagnosis, Evaluation and Management and Current Procedural Terminology codes. • Performs ongoing audits on medical record for accurate assignment and to ensure all industry guidelines, laws and regulations are met. • Performs physician education on proper documentation to support code selections. • Identifies and reports coding errors to Physician Fee Supervisor to review and respond. • Reviews and responds to all denials as well as requests for records. • Research coding and reimbursement issues and reports findings to management, physicians, and staff. • Provides ongoing education to physicians, and LIP's on documentation requirements for accurate code assignments. • Works with supervisor for any training related questions. • Performs internal quality assessment reviews on physician (professional) coding to ensure compliance with national coding guidelines and Capital Health's policies for complete, accurate and consistent coding which results in appropriate reimbursement and data integrity. • Assists with preparation and presentation of monitoring results for review with physicians and hospital leadership. • Attends hospital and medical staff meetings to respond to documentation related issues. • Provides support for coding provider-based billing related claims, this includes coding professional fees. • Facilitates change processes required to capture needed documentation such as forms design. • Assists in appeals process resulting from third party reviews. • Maintains level of expertise through continuing education. • Maintains appropriate productivity levels.

🎯 Requirements

• High School Diploma, Associates degree in Health Information Management preferred. • Certified Professional Coder (CPC) or Certified Coding Specialist-Physician-based (CCS-P) required. • Physician coding and Training certification. • Three years experience in physician coding role. • Auditing experience preferred. • Outpatient ICD 9/10, CPT, CM, and HCPCS coding experience. • Knowledge of pathophysiology and disease processes. • Strong knowledge of industry guidelines and laws for physician coding and reimbursement. • Excellent verbal and written communication skills. • Proficient with Microsoft applications to include Outlook, Word, Excel, PowerPoint or Access. • Medical Terminology, Anatomy and Physiology, or Pathophysiology knowledge.

🏖️ Benefits

• Medical Plan • Prescription drug coverage & In-House Employee Pharmacy • Dental Plan • Vision Plan • Flexible Spending Account (FSA) - Healthcare FSA - Dependent Care • Retirement Savings and Investment Plan • Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance • Supplemental Group Term Life & Accidental Death & Dismemberment Insurance • Disability Benefits – Long Term Disability (LTD) • Disability Benefits – Short Term Disability (STD) • Employee Assistance Program • Commuter Transit • Commuter Parking • Supplemental Life Insurance - Voluntary Life Spouse - Voluntary Life Employee - Voluntary Life Child • Voluntary Legal Services • Voluntary Accident, Critical Illness and Hospital Indemnity Insurance • Voluntary Identity Theft Insurance • Voluntary Pet Insurance • Paid Time-Off Program