Coding Spec II Physician Group

Job Description

Position Summary

Reviews medical record documentation, extracts data, and applies appropriate diagnosis and procedure codes for complex multi-specialty physician group. Coding responsibilities include inpatient hospital, outpatient hospital, and ambulatory services to support professional fee billing, internal and external reporting, research and regulatory compliance. Complies with the ICD-10-CM and CPT/HCPCS Official Guidelines for coding and reporting as well as other nationally established rules and regulations for coding assignment.

Responsibilities

Provides code assignment for all levels of Professional Fee (Physician Coding) for Inpatient, Outpatient and/or Ambulatory Services and/or Charge Entry services for large multi-specialty physician group.

Assigns diagnostic and procedural codes to patient records using ICD-10-CM and CPT/HCPCS and any other designated coding classification systems in accordance with coding guidelines.

Assigns and sequences codes accurately based on medical record documentation.

Verifies accuracy of code assignment provided by physicians and/or designated staff.

Assigns diagnosis/procedure codes utilizing the 3M Encoder to arrive at the most accurate code within designated time frame as agreed upon and/or outlined in policy.

Incorporates current regulatory coding requirements and guidelines appropriately.

Maintains weekly coding productivity log and provides feedback to the Supervisor/Manager of VMG Coding regarding any coding

issues/problems.

Maintains coding accuracy of 90% or better, in accordance with Medical Group policy.

Average number of records coded per hour must meet minimum established quantitative standards per type of patient record.

Responsible for reviewing claims and correcting Claims Manager and/or Epic edits.

Demonstrates effective computer skills for all coding functions.

Maintains confidentiality of patient information.

Participates in In-Service education, updates and conferences to remain current with coding requirements and

guidelines.

Maintains AHIMA and/or AAPC credentials.

Minimum Requirements

High School or Equivalent (GED) and one of the following AHIMA or AAPC credentials is required: RHIA, RHIT, CCS, CCS-P, CPC

Associate's Degree in Health Information Technology or Bachelor's Degree in Health Information Management is preferred.

1 - 2 years relevant coding experience required.

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