Professional Coder Ii, Revenue Cycle Medical Group

DESCRIPTION

Description

No matter your role or area that you work in, at SGMC Health we are collectively working towards goals that will make our community a better place.

We strive to do the right thing the right way, are accountable in all we do, require competence of our people, and are compassionate in our service.

We encourage team effort, support personal and professional development, acknowledge individual talents and skills, and support innovation and empowerment.

We are committed to providing the best care possible and we are proud to be recognized locally, statewide, and nationally for the exceptional care that our staff provides.

SGMC has great benefit options, depending on the role that you are going into– including healthcare, supplementary benefits, ways to save for the future, opportunities for career advancement, and opportunities to expand your skill set. Some of these great benefit options are listed below:

• Low Healthcare Insurance Premiums
• 401(k) with employer match
• Paid Time Off (PTO)
• Employee discounts
• Company paid life insurance
• Short-Term and Long-Term Disability
• Cancer Insurance
• Accident Insurance
• Pet Insurance
• Tuition Reimbursement
• On-the-job training and skills development
• Opportunities for growth and advancement
• Employee Assistance Program

JOB LOCATION : SGMC Patient Financial Services

DEPARTMENT: REVENUE CYCLE MEDICAL GROUP

SCHEDULE: , 8 HR Day Shift, 8-5

Abstracts ICD-10 and CPT codes for Diagnosis and Procedures for professional services. Reviews and analyzes medical records verifying and coding the diagnosis, evaluation and management service, minor procedures, or other codes required for the completeness and accuracy of the record. Additionally, will code and/or review principal diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, any applicable supply, medication, and injectable drugs. Maintains communication with Management, Practice Manager, and Provider to ensure timely notification of identified documentation issues.

Interact with other team members of the revenue cycle and provider clinics. Responsible for continuing education of all clinical staff members and providers. Interacts with billing staff to assist in inquiries regarding coding, documentation, denials and billing. Must have highly effective and professional written and verbal communication skills. Knowledge of legal, regulatory and policy compliance issues regarding medical coding, billing, and documentation.

Maintains an accuracy score of 95% or higher for CPT and ICD-10 coding. Responsible for attending all mandatory education sessions and continuing education credits required to maintain CPC certification. Assists in the review and appeal process of denied professional services. Must be able to meet competing deadlines, be highly organized, goal driven, and work well with others.

• Certified Professional Coder (CPC) required or Certified Coding Specialist (CCS, CCS-P). Previous coding experience required.
• Coding in 3 or more specialties preferred.
• Experience working in a physician office preferred.
• High School graduate or equivalent.
• Knowledge of anatomy and physiology, medical terminology, ICD-10, HCPCS, and CPT required.
• Good communication skills essential.
• Medical Office setting experience preferred.
• Time management skills.
• Demonstrates initiative to provide quality of services and improve efficiencies.
• Proficient in Microsoft Office, especially Excel and Teams.

Coder may spend long hours working at computer terminal. Must be able to see and read names, numbers, and colors. The Coder is subject to high stress levels. The coder must have and maintain reliable high-speed internet and is able to agree to organizations IT Security policies for remote access work.