Professional Coder – Physician Professional Coder

Job not on LinkedIn

🕒 May 15

🏈 Alabama, New Jersey, +1 more states – Remote

🏈 Alabama – Remote 🏖️ New Jersey – Remote 🔔 Pennsylvania – Remote

💵 $25 - $33 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🏥 Medical Billing and Coding

🚫👨‍🎓 No degree required

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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

• Responsible for accurately reviewing and assigning Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and ICD-10-CM codes for professional claims billed by Capital Health Medical Group (CHMG) for hospital and outpatient procedures • Accurately applies official coding conventions and rules established by the American Medical Association (AMA) and the Center for Medicare and Medicaid Services (CMS) for assignment of procedural and diagnostic codes • Reviews procedure documentation for accurate assignment of ICD-10-CM diagnosis, current procedural terminology (CPT-4) codes and modifiers • Ensures appropriate coding of evaluation and management services when applicable • Meets or exceeds departmental accuracy and productivity standards • Ensures compliance with national coding guidelines and Capital Health's policies for complete, accurate and consistent coding resulting in appropriate reimbursement and data integrity • Fosters teamwork and collaboration • Reviews CCI edits, MUE edits, LCD and NCD coverage before chart finalization • Identifies documentation gaps or inconsistencies and escalate when clarification is required • Collaborates with billing, charge review, and revenue integrity teams to prevent recurring issues • Addresses professional coding pre-bill edits timely to ensure minimal days in DNFB • Acts as a subject matter expert for professional coding • Performs other duties as assigned

🎯 Requirements

• High school diploma or equivalent • Certified Professional Coder-Apprentice (CPC-A), Certified Professional Coder (CPC), or Certified Coding Specialist-Physician (CCS-P) certification required • Associate's degree in health information management preferred • Two years' experience in physician coding role preferred • ICD-10-CM, CPT-4 and HCPCS coding experience preferred • One year surgical coding experience preferred • Excellent verbal and written communication skills • Strong knowledge of surgical coding guidelines • Knowledge of pathophysiology and disease processes • Special Training: Physician coding and Training certification • Proficient with Microsoft applications to include Outlook, Word, Excel, PowerPoint • Medical Terminology, Anatomy and Physiology, or Pathophysiology knowledge • CPC-A, CPC, or CCS-P required • Ability to work in environment using multiple EMR systems • Ability to work collaboratively with others as well as independently

🏖️ 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