Professional Coding and Documentation Improvement Specialist - PT Physician Professional Coders Remote NJ PA AL

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

$29.27 - $38.25

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Facilitates compliant physician coding and documentation for accurate assignment of diagnosis, Evaluation and Management (E&M) and Current Procedural Terminology (CPT) codes. Performs ongoing monitoring of medical record documentation content to ensure all industry guidelines, laws and regulations are met. Performs provider feedback and education on proper documentation to support code level selections. Identifies and reports recurring coding and documentation improvement areas to leadership to review and respond.

Reviews and responds to requests for coding and documentation education. Supports proactive documentation improvement initiatives within Capital Health Medical Group (CHMG).

Education:

High School Diploma or equivalent. Associate's degree in health information management preferred. Certified Professional Coder (CPC) or Certified Coding Specialist-Physician-based (CCS-P) required. Physician coding and Training certification.

Experience:

Two years’ experience in professional coding role, monitoring and education experience preferred. ICD-10-CM, CPT, CM, and HCPCS coding experience.

Knowledge and

Skills:

Excellent verbal and written communication skills. Knowledge of pathophysiology and disease processes. Strong knowledge of industry guidelines and laws for physician coding and reimbursement. Possesses research and analysis skills

Special Training:
Proficient with Microsoft applications to include Outlook, Word, Excel, PowerPoint. Medical Terminology, Anatomy and Physiology, or Pathophysiology knowledge. Ability to develop, implement and deliver, and assess coding education plans using a variety of methods to individual providers or provider groups.

Mental, Behavioral and Emotional Abilities:
Ability to work in environment using multiple EMR systems. Ability to learn and develop documentation and education skills to perform physician education. Ability to work collaboratively with others as well as independently

Usual Work Day: 8 Hours

Does this position formally supervise employees? No

If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.

Reviews medical record documentation for accurate assignment and support of diagnosis, CPT, and E&M codes.

Monitors provider selected E&M codes on a routine and focused basis to ensure documentation supports medical necessity, code specificity, and compliance to promote the highest coding accuracy

Develops and delivers education material to promote clear, accurate and complete documentation and compliance with…