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Role Description

Under general supervision, the Coder reviews, analyzes, and assigns final diagnoses and procedures based on provider documentation, adhering to all compliance policies and guidelines. The Coder accurately codes office and hospital procedures to ensure proper reimbursement. This position also provides physician education to ensure proper completion of Electronic Health Records and accurate assignment of ICD-10, CDM, HCPCS, and CPT codes, delivered verbally, physically, and in written form.

Responsibilities

• Review clinical documentation and code to the highest level of specificity for accurate charge capture.
• Interact with providers to provide feedback and education using verbal, written, and in-person communication.
• Assign and sequence appropriate codes and modifiers using current procedure, diagnosis, and HCPCS coding for services billed.
• Accurately follow coding guidelines and legal requirements to ensure compliance with federal and state regulations.
• Communicate with physicians, other business group personnel, clinical areas, and staff regarding coding-related questions.
• Manage coding-related edit work queues.
• Prepare documentation audits with written results and trend data; present findings to the provider, department chairman, and/or compliance officer.
• Maintain compliance standards in accordance with internal policies; report compliance issues appropriately.
• Identify and account for missing charges and/or documentation.
• Perform coding work requiring independent judgment with timeliness and accuracy.

Qualifications

• Minimum of 5 years of medical coding experience – required
• Extensive experience in coding – required
• High School Diploma or GED equivalent – required
• Certified Professional Coder (CPC) – required at time of hire

Additional Duties

• Additional duties as assigned may vary

Company Description

UFJPI is an Equal Opportunity Employer and a Drug-Free Workplace.