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Role Description
The Physician Coder codes and abstracts physician services performed in the hospital setting according to AHA, AMA, guidelines and CMS directives. Must assure data quality through quarterly reviews. Performs data entry of physician services statistics into specialty-specific databases. Works with Medical Records, Finance, and Physician Billing to ensure appropriate flow of information.
• Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines.
• Utilizes 3M Encoder for validation of RVUs and CPT-4 procedure unbundling.
• Maintains a 95% coding accuracy rate as measured through quality reviews.
• Maintains daily productivity as outlined.
• Responsible for maintaining up-to-date knowledge of coding guidelines as they relate to physician services for hospital inpatient, observation, consultant, surgical, critical care, and E & M services.
• Performs data entry of abstracted physician information into specialty-specific databases.
• Conducts educational sessions to the medical staff for coding and documentation compliance.
Qualifications
• RHIA, RHIT, CPC, OR CCS-P with working knowledge of ICD-9/ICD-10, CPT and HCPCS coding required.
Requirements
• Minimum 1-3 years experience in CPT/HCPCS physician procedural coding.
• Previous experience with computerized patient record and coding system preferred.
Physical and Sensory Requirements
• Sitting for up to seven hours per day, three-four at a time.
• Frequently uses fingers for typing, data entry, etc.
• Frequent use of hands.
• Use of upper extremities to rarely lift up to ten pounds.
• Rarely stoops, bends, or reaches above shoulder level.
• Hearing as it relates to normal conversation.
• Seeing as it relates to general vision, near vision, peripheral vision and visual monotony.
Company Description
St. Luke's University Health Network is an Equal Opportunity Employer.