Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical, diagnostic, and procedural information for the correct ICD-10, CPT and/or HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for accuracy and to minimize claim denials. Assesses records and prepares reports. Provides technical guidance to physicians and other departmental staff in identifying and resolving issues or errors. Develops effective working relationships with physicians and other stakeholders. Primary coding responsibility is all Evaluation and Management (E/M) leveling along with additional ancillary services done in an office setting.

Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical, diagnostic, and procedural information for the correct ICD-10, CPT and/or HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for accuracy and to minimize claim denials. Assesses records and prepares reports. Provides technical guidance to physicians and other departmental staff in identifying and resolving issues or errors. Develops effective working relationships with physicians and other stakeholders. Primary coding responsibility is all Evaluation and Management (E/M) leveling along with additional ancillary services done in an office setting.

Education

• H.S. Diploma or General Education Degree (GED) Required


• Coding Certificate program (AAPC accredited) is Preferred

Work Experience

• No experience required Required


• Coding experience Preferred


• Remote coding experience is Preferred

Licenses and Certifications

• None Required

Additional Licenses and Certifications

• One or more certifications - CPC, CPC-A, CPC-H, RHIA, RHIT, CCS, CCA, CCS-P Required

Piedmont Healthcare