HCA Healthcare

HIM Physician Coder

HCA Healthcare

full-time

Posted on:

Location Type: Remote

Location: United States

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Salary

💰 $29 - $42 per hour

About the role

  • Accurately applies official coding conventions and rules established by the American Medical Association (AMA) and the Center for Medicare and Medicaid Services (CMS) for assignment of procedural and diagnostic codes.
  • Reviews the surgical documentation for accurate assignment of ICD-10 diagnosis, current procedural terminology (CPT-4) codes and modifiers.
  • Ensures appropriate coding of evaluation and management services when applicable.
  • Reviews surgical documentation to assign accurate CPT-4 procedure codes and appropriate modifiers for procedures in the operating room, as well as complex procedures performed in a procedure room.
  • Assigns primary and secondary ICD-10CM diagnosis codes.
  • Analyzes provider documentation to ensure the appropriate Evaluation and Management codes are assigned.
  • Ensures compliance with national coding guidelines and Capital Health's policies for complete, accurate and consistent coding resulting in appropriate reimbursement and data integrity.
  • Reviews CCI edits, MUE edits, LCD and NCD coverage before chart finalization.
  • Contacts and collaborates with appropriate personnel for documentation insufficiencies and to expedite resolution of accounts.
  • Maintains level of expertise through continuing education.
  • Maintains appropriate productivity levels.

Requirements

  • High school diploma or GED.
  • CPC-A, CPC, or CCS-P certification required.
  • Associate's degree in Health Information Management preferred.
  • Two years of experience in physician coding role preferred.
  • Outpatient ICD-10, CPT-4 and HCPCS coding experience preferred.
  • One year surgical coding experience preferred.
  • Excellent verbal and written communication skills.
  • Strong knowledge of surgical coding guidelines.
  • Knowledge of pathophysiology and disease processes.
  • Physician coding and Training certification.
  • Proficient with Microsoft applications to include Outlook, Word, Excel, PowerPoint or Access.
  • Medical Terminology, Anatomy and Physiology, or Pathophysiology knowledge.
  • Certified Professional Coder-Apprentice (CPC-A), Certified Professional Coder (CPC), or Certified Coding Specialist-Physician (CCS-P) required.
  • Ability to work collaboratively with others as well as independently.
Benefits
  • Medical Plan
  • Prescription drug coverage & In-House Employee Pharmacy
  • Dental Plan
  • Vision Plan
  • Flexible Spending Account (FSA) - Healthcare
  • FSA - Dependent Care
  • Retirement Savings and Investment Plan
  • Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
  • Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
  • Disability Benefits – Long Term Disability (LTD)
  • Disability Benefits – Short Term Disability (STD)
  • Employee Assistance Program
  • Commuter Transit
  • Commuter Parking
  • Supplemental Life Insurance - Voluntary Life
  • Spouse - Voluntary Life
  • Employee - Voluntary Life
  • Child Voluntary
  • Legal Services
  • Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
  • Voluntary Identity Theft Insurance
  • Voluntary Pet Insurance
  • Paid Time-Off Program
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
ICD-10 codingCPT-4 codingHCPCS codingsurgical codingevaluation and management codingcoding conventionscoding guidelinesdata integritydocumentation analysiscoding modifiers
Soft Skills
verbal communicationwritten communicationcollaborationindependenceattention to detailproblem-solvingorganizational skillsproductivity managementcontinuing educationinterpersonal skills
Certifications
CPC-ACPCCCS-PPhysician coding certificationCertified Professional Coder-ApprenticeCertified Professional CoderCertified Coding Specialist-Physician