Profee Medical Coder

Job Summary:

Under the general supervision of the Operations Manager, the Coder assigns diagnosis and procedure codes to patient medical records and enters coding and abstracting patient data into the facility computer system. Generally, performs coding on all types of cases.

Position can be specialized to code outpatient, or physician/ professional coding, but must be able to code all patient types depending on business requirement. Appropriately code

for International Classification of Diseases 10th Revision–Clinical Modification (ICD-10-CM)/diagnosis, and Procedure Codes such as Current Procedural Terminology (CPT).

International Classification of Diseases 10th Revision–Procedure Coding System (ICD-10-PCS) or Healthcare Common Procedure Coding System (HCPCS). related to a patient’s admission in order to provide billing and statistical information.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

1. Abstracts, codes, and sequences the classification of medical and surgical procedures, diagnosis, and treatment modalities on Inpatient and Day Surgeries.

2. Reviews appropriate provider documentation to determine principal diagnosis, co-morbidities and complications, secondary conditions, and surgical procedures.

For Outpatient and Professional specialties:

• ICD-10-CM for diagnosis coding, CPT for procedure coding and any applicable

• HCPCS coding

• Assigns correct Ambulatory Payment Classification (APC) for facility and perform coding compliance reviews. Follow official coding guidelines to review and analyze health records.

• Follows specific guidelines and instructions from the facility, payer and physician.

• Writes a compliant query to the provider for documentation and coding improvement.

• Enters codes into computer system, extract required information from source documentation and enter data into encoder and abstracting system.

• Reports to their supervisor their productivity status and daily issues.

• Identifies and reports areas of concern with respect to improper coding and documentation.

• Maintains confidentiality of patient records at all times.

Qualifications:

• Bachelor’s Degree in Medical Records or Allied Medical Field, or education courses and equivalent relevant clinical work experience.

• Requires a minimum of one year of Profee medical coding experience

• Must have an expert understanding of computer applications.

• Must have knowledge of coding guidelines and medical terminology.

• Requires expert knowledge of automated encoder system.

• Must have the analytical ability necessary to interpret data contained in records and to assign appropriate codes and the visual acuity necessary to read and decipher handwriting.

• Must also have knowledge of ICD-10 coding systems and MS Diagnostic-Related Groups and APC’s.

• Must be able to communicate effectively and have excellent customer service skills.

• Requires the ability to read, write and speak effectively in English.

Certification/licensure:

• AAPC Coding Certification: CPC, COC, CIC

• AHIMA Coding Certification: CCA, CCS-P, CC.

Other information:

• Salary: Above averave salary

• WFH