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AI Summary

Review medical records and accurately code physician and mid-level services using ICD-10, CPT, and HCPCS, while verifying documentation and compliance with teaching-hospital billing rules. Coordinate with coding, specialty, and business office teams to address documentation issues, support reimbursement and financial goals, and maintain patient confidentiality and coding accuracy.

Position Summary

Baptist Health is looking for a Physician Coder II to work with our Baptist Health Medical Group. This will be a Full-time role working home-based (remotely). This position may be asked to occasionally report to the office for trianing/meetings. The Physician Coder II will accurately and efficiently accesses a wide range of specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services.

 

Baptist Health offers competitive pay and benefits!

  • Medical, Dental, Vision
  • 403(b) Retirement Savings Plan
  • Health Savings Account (HSA)
  • Flexible Spending Account (FSA)
  • Paid Time Off (up to 5 weeks to start)
  • Life Insurance
  • Extended Leave Plan (ELP)
  • Family Care (childcare, elder care, pet care)
  • Paid Parental Leave
  • Pet Insurance
  • Car Insurance
  • Educational Benefits including tuition reimbursement & monthly payments to help pay down any graduated school debt

ALL benefits start on day one!

Responsibilities

  • Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems.
  • Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS–all levels)
  • Verifies billable physician services by reviewing physician documentation for adherence to the “Physician at Teaching Hospital” rules set forth by the federal government.
  • Submits to their Senior Coder any issues or trends found within the documentation of a particular healthcare provider for evaluation and follow up.
  • Collaborates with members of the specialty team to consistently monitor financial goals within their specialty to satisfy corporate goals.
  • Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (i.e., Insurance Denials)
  • Communicates effectively with physicians, physician extenders, physician offices, members of the coding team and manager.
  • Utilizes resource material available in department to support accurate coding practices.
  • Maintains patient confidentiality.
  • Demonstrates good communication skills both verbal and written.
  • Maintains 90% accuracy rate.
  • Attends departmental and other meetings as scheduled.

Qualifications

Education/Training

 

  • High school diploma or equivalent.
  • Computer/typing literacy, knowledge of Anatomy, Physiology and Medical terminology required.
  • Thorough knowledge of CPT, ICD coding as evidenced by results of coding skills test of 80% or better.

Licensure/Certification

 

  • One of the following national certifications:
    • Certified Professional Coder (CPC) through the American Academy of Professional Coders
    • Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA)
    • Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA)
    • Certified Coding Associate (CCA) through the American Health Information Management Association (AHIMA)
    • Certified Medical Coder (CMC) through Practice Management Institute

Experience

  • Three (3) years certified coding experience in professional or physician practice coding.
  • Proficiency in multi-specialty E/M coding along with minor bedside procedure coding is preferred
    • Knowledge of Urology, Orthopedics and OB GYN coding is desired

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