医生实践编码员 - 远程
Physician Practice Coder - Remote
职位概述：
通过详细审查医生医疗记录和收费会话中的每一项内容，进行CPT和ICD-10编码审核。执行病历审计，确保正确编码和收费已适当应用。与关键收入周期相关方紧密合作，了解拒付原因、根本原因分析，并向提供者反馈。
职位：医生实践编码员
部门：BUMG企业PBO通用部
时间安排：全职
核心职责/工作内容：
编码支持
- 审查患者医疗记录并提取识别所有诊断和程序的医疗数据。使用ICD-10-CM、CPT4/HCPCS分类系统从医疗记录文档中编码诊断、程序和适当的修饰符。参考计算机编码系统、书面编码辅助工具和其他参考资料，以确保准确编码用于计费。
- 按照ICD-10-CM、CPT-4和统一医院出院数据集（UHDDS）对诊断、程序和并发症进行排序；遵守官方编码和报告指南、编码诊所指南及其他适用的监管指南。与CDCI团队联系，请求合适的医生或医疗人员澄清医疗记录信息。
- 保持部门政策和程序中规定的生产率标准。
- 保持编码和专业技能的知识，包括通过参加内部培训项目、会议、研讨会、阅读最新文献和其他教育项目来维持年度编码资质。
- 以医院的文化价值观为基础进行决策，促进医院的目标和使命。
- 遵守医院既定的感染控制和安全程序。
- 审核并回应编码问题。
- 确保所计费的服务被准确编码。
- 进行随机病历审计。
- 提供持续的编码更新。
- 研究出现的编码问题。
- 使用ICD-10-CM和CPT-4/HCPCS分类系统从医疗记录中编码诊断和程序。
- 按照ICD-10-CM、医疗保险、医疗补助和其他财政中介指南对诊断、程序和并发症进行排序。
- 审查病历的记录和签名。
- 执行其他必要的职责。
- 必须遵守BMC的所有RESPECT行为标准。
职位要求
教育背景：
· 专科文凭（或直接）
查看英文原文
POSITION SUMMARY:
Conducts CPT and ICD-10 coding reviews by detailed examination of each line item in the physician medical record and charge session. Performs chart audits to ensure correct coding and charge capture have been applied appropriately. Works closely with key revenue cycle stakeholders to understand reasons for denials, root cause analysis, and feedback to providers.
Position: Physician Practice Coder
Department: BUMG Corporate PBO General
Schedule: Full Time
ESSENTIAL RESPONSIBILITIES / DUTIES:
Coding support
- Reviews patient medical records and abstracts medical data that identifies all diagnoses and procedures. Codes diagnoses, procedures, and appropriate modifiers from the medical record documentation using ICD-10-CM, CPT4/HCPCS classification systems. Refers to a computerized encoding system, written coding aids and other reference materials to ensure accurate coding for billing.
- Sequences diagnoses, procedures and complications by following ICD-10-CM, CPT-4, and the Uniform Hospital Discharge Data Set (UHDDS); adheres to the Official Guidelines for Coding and Reporting, Coding Clinic guidelines and other regulatory guidelines as appropriate. Consults with the CDCI team to request appropriate physician or appropriate medical staff to clarify medical record information.
- Maintains productivity standards set forth in Departmental Policies and procedures.
- Maintains knowledge of coding and professional skills, including maintaining yearly coding credentials through attendance at in-service programs, conferences, workshops, review of current literature and other educational programs.
- Utilizes hospital’s cultural values as the basis for decision making and to facilitate the hospital’s goals and mission.
- Follows established Hospital infection control and safety procedures.
- Review and respond to coding questions.
- Ensure billed service is being accurately coded.
- Perform random chart audits.
- Provide continual coding updates.
- Research coding issues that arise.
- Codes diagnoses and procedures from the medical record using ICD-10-CM and CPT-4/HCPCS classification systems.
- Sequences diagnoses, procedures and complications by following ICD-10-CM, Medicare, Medicaid, and other fiscal intermediary guidelines.
- Reviews charts for documentation and signature.
- Performs other duties as needed.
- Must adhere to all of BMC’s RESPECT behavioral standards.
JOB REQUIREMENTS
EDUCATION:
· Associates Degree (or direct work experience equivalent to at least 2 years)
CERTIFICATES, LICENSES, REGISTRATIONS REQUIRED:
- CPC – Certified Professional Coder
- CPC-A – Certified Professional Coder Apprentice
EXPERIENCE:
· 2-5 years experience required in a multi-specialty physician coding environment to include coding, compliance, and billing processes.
KNOWLEDGE AND SKILLS:
- Work requires in-depth knowledge of medical terminology, ICD-10-CM and CPT-4 Work also requires basic concepts of human anatomy, physiology and pathology.
- Strong knowledge of health records, computerized billing and charging systems, Microsoft applications, data integrity, and processing techniques required.
- Excellent organizational skills, including ability to multi-task, prioritize essential tasks, follow-through and meet timelines.
- Ability to work with accuracy and attention to detail
- Ability to solve problems appropriately using job knowledge and current policies/procedures.
- Ability to work cooperatively with members of the healthcare delivery team and staff, ability to handle frequent interruptions and adapt to changes in workload and work schedule and to respond quickly to urgent requests.
- Must be able to maintain strict confidentiality of all personal/health sensitive information and ensure compliance of HIPAA rules and regulations.
Compensation Range:
$24.04- $33.65This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensures as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), discretionary annual bonuses and merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family well-being.
NOTE: This range is based on Boston-area data, and is subject to modification based on geographic location.
Equal Opportunity Employer/Disabled/Veterans
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Originally posted on Himalayas