Specialty Coder - Physician

RESPONSIBLE FOR:

Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical

diagnostic and complex procedural information for various medical and surgical subspecialties for the

correct ICD-10, CPT, Modifiers 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 complex

procedural and surgery coding.

MINIMUM EDUCATION REQUIRED:

High school diploma or equivalent required.

MINIMUM EXPERIENCE REQUIRED:

Three (3) years of coding experience for Interventional Radiology, Cardiology, EP and Cardiothoracic

specialties required.

MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:

None.

ADDITIONAL QUALIFICATIONS:

One or more certifications required - CPC, CPC-A, CPC-H, RHIA, RHIT, CCS, CCA, CCS-P certification required.

Coding Certificate program (AAPC accredited preferred).

Experience coding across multiple specialties and remote coding experience is a plus.

Transplant, Neurosurgery, or Cardiology Specialties: Cardiothoracic, Interventional, EP, and

Cardiovascular Surgery coding/certification preferred.