Patient Accounts Coder III

Newport News, Virginia

Location: On-site

Overview

Utilizes advanced knowledge of coding and abstracting skills, ensuring high quality documentation that is thorough, accurate and complete for accurate reimbursement capture. Follows all national standards of coding and organization policies and procedures associated with the coding classification schemes (HCPCS, CPT and ICD10/CM) and assigns diagnostic and procedure codes to simple record types up to highly complex record types. Contributes to the proper management of health information through consistent and accurate code assignment processes adhering to all regulatory coding principles, rules and regulations.

What you will do

Organizes and prioritizes assigned work to ensure that work is completed within the assigned time frame Reviews charts and entire medical records, assigning ICD and CPT code combinations to each data element. Audits for documentation opportunities and queries clinical staff to fill in any gaps to clarify confusing, incomplete or conflicting information and obtain any needed additional documentation. Contacts and works with physicians as needed for clarification of details to ensure correct coding.

Accurately utilizes the ICD-10-CM classification system and CPT classification system in assigning diagnostic, procedural and complication codes to all claims while meeting billing requirements of various payers. Maintains coding accuracy as defined by the department.

Performs coding productivity as defined by the department, utilizing nationally recognized organization and specialty specific levels.

Complies with standardized coding standards and conventions and regulations, corporate compliance standards, and reimbursement policies. Participates in specialty specific coding training.

Maintains positive provider (physician, physician assistant, and nurse practitioner) relationships. Assists patient financial services with questions on coding and billing edits.

Mentors and assists in training other coders within the department. participates in the development of coding policies and procedures. Performs audits and coordinates/mentors the work of designated coding team members to ensure quality and quantity of work performed.

Qualifications

Education

High School Diploma or GED, (Required)

Program Graduate, ICD10 Coding (Required)

Experience

5-6 years Coding (Medical Practice) with minimum of 2 years active experience. (Required)

OB/GYN and Residency experience preferred.

Licenses and Certifications

Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) (Required) or

Certified Professional Medical Auditor (CPMA) - American Academy of Professional Coders (AAPC) (Required) or

Certified Coding Specialist (CCS) - The American Health Information Management Association (AHIMA) (Required) or

Registered Health Information Administrator (RHIT) - The American Health Information Management Association (AHIMA) (Required) or

Registered Health Information Technician (RHIT) - The American Health Information Management Association (AHIMA) (Required) or

Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC) (Required)

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