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Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical diagnostic and complex procedural information for general surgical specialties 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 entirety and 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 relationship with physicians and other stakeholders. Primary coding responsibility is diagnostic and complex procedural and surgery coding.

Education

• H.S. Diploma or General Education Degree (GED) Required
• Coding Certificate program (AAPC accredited ) Preferred

Work Experience

• 1 year of professional coding experience across multiple physician specialties, including but not limited to Radiology, Surgery, Cardiology, Orthopedics, Neurology, Hospital Medicine, Internal Medicine, Behavioral Health, Pediatrics, Women's Services, Oncology, Gastroenterology, Urology, and other specialty practices Required
• Experience in coding across multiple specialties and remote coding experience is Preferred

Licenses and Certifications

• One or more of the following certifications: Upon Hire
• RHIA - Registered Health Information Administrator Required or
• RHIT - Registered Health Information Technician Required or
• CCA - Certified Coding Associate Required or
• CPC - Certified Professional Coder Required or
• CPC-A - Certified Professional Coder – Apprentice Required or
• CPC-H - Certified Professional Coder - Hospital Outpatient/Facility Required or
• CCS-Certified Coding Specialist Required or
• CCS-P - Certified Coding Specialist – Physician-based Required or

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