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Piedmont Healthcare Inc.

Specialty Coder - PHYS

Posted 6 days ago
2-5 years experience
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AI Summary

Review medical records and code diagnostic and complex procedural information across medical and surgical specialties using ICD-10, CPT, modifiers, and HCPCS. Abstract accurate information, review medical necessity, audit orders and claims, prepare reports, and guide physicians and staff in resolving coding issues.

Overview

At Piedmont Healthcare, you’ll love a shared purpose, be motivated to be your best, and be recognized for your contributions. Piedmont Healthcare leaders are in your corner and invested in your success. Our wellness programs and comprehensive total benefits and rewards will meet your needs for today and help you plan for the future.

Responsibilities

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.

Qualifications

Education
  • H.S. Diploma or General Education Degree (GED) Required
  • Coding Certificate program (AAPC accredited ) Preferred
Work Experience
  • 3 years 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 coding across multiple specialties and remote coding experience is Preferred
Licenses and Certifications
  • One or more of the following certifications Upon Hire Required
  • RHIA - Registered Health Information Administrator or
  • RHIT - Registered Health Information Technician or
  • CCA - Certified Coding Associate or
  • CPC, CPC-A, or CPC-H or
  • CCS or CCS-P
  • Cardiology Specialties: Cardiothoracic, Interventional, EP, and Cardiovascular Surgery coding/certification Preferred
  • Transplant Surgery coding/certification Preferred
  • Neurosurgery Surgery coding/certification Preferred

Business Unit : Company Name

Piedmont Healthcare Corporate

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