Hamilton Health Care System, Inc.
Job Description and Performance Standards
Title: Professional/Physician Medical Coder 339025198
Department: Physician Billing Office
Reports To: Director
Shift: 8:00am-5:00pm Monday-Thursday & 8:00am-12:00pm Friday
Under indirect supervision, reviews medical records and assigns/verifies the appropriate CPT and ICD-9 code(s) while adhering to published compliance regulations and guidelines. The individual must be detail oriented and be able to work independently. Must demonstrate initiative and the ability to work with physicians and other healthcare providers with cooperation and flexibility. This position serves as a resource for physicians in regards to code assignment issues and related policies and procedures regarding required documentation. Reviews assigned work daily and ensures timely processing of assignments. Maintains strict confidentiality with regard to protected health information. Understands and adheres to HIPAA Privacy & Security policies and procedures.
Education: High School Diploma Required
Licensure: Coding Certification required (CPC, CPC-H, CCS, CCS-P)
Experience: At least 1 year experience coding Evaluation and Management services required, specialty experience preferred.
Skills: Knowledge of Medical Record content, medical terminology, anatomy & physiology, ICD9-CM, ICD10-CM/PCS & CPT coding systems. Ability to examine the chart and verify documentation needed for accurate code assignment. Ability to clearly communicate medical coding information to professional practitioners. Knowledge of coding concepts and principles. Knowledge and understanding of medical coding and billing systems and regulatory requirements. Knowledge of legal, regulatory, and policy compliance matters related to medical coding and billing procedures and documentation. Ability to apply good judgment and decision-making skills. Attention to detail and quality. Ability to prioritize workload and strong recall and recognition skills. Good verbal, written and computer communication skills. Ability to perform computer functions in Microsoft Office. This position must practice good organization skills due to interruptions and interactions with other team members. Position must be able to work in a team environment and be self-directed and work autonomously when necessary. Must remain calm under stress and must be able to appropriately respond to a disgruntled person during such occasions when necessary (i.e., internal and external customers and stakeholders).
PHYSICAL, MENTAL, ENVIRONMENTAL AND WORKING CONDITIONS
Works in a typical office setting. Frequent sitting, and long periods of reviewing records from a computer screen. Prolonged sitting and eye strain with concentrated effort over detail work. Requires a moderate amount of working with computers. Requires walking up and down stairs. Requires use of proper body mechanics. Often it will be necessary for individual to spend most of shift sitting. Dexterity of upper extremities and fingers, as well as mental and visual dexterity to names, numbers, codes, report types, as well as hand dexterity to enter data.
i. Work assignments require consistent periods of sitting.
ii. Dexterity of upper extremities and fingers, as well as mental dexterity for utilizing dual monitors and operating multiple windows of different software programs simultaneously.
iii. Ability to communicate clearly and understandably on the telephone and in person.
iv. Ability to understand the spoken word on the telephone and in person.