HCA - Hospital Corporation of America was established in 1968 as one of the first hospital companies in the United States. Over the last 40 years, Hospital Corp
Professional Coder – Physician Professional Coder
Location
Alabama + 2 moreAll locations: Alabama | New Jersey | Pennsylvania
Posted
17 days ago
Salary
$25 - $33 / hour
Seniority
Mid Level
Job Description
Professional Coder – Physician Professional Coder
HCA - Hospital Corporation of America
• Responsible for accurately reviewing and assigning Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and ICD-10-CM codes for professional claims billed by Capital Health Medical Group (CHMG) for hospital and outpatient procedures • 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 procedure documentation for accurate assignment of ICD-10-CM diagnosis, current procedural terminology (CPT-4) codes and modifiers • Ensures appropriate coding of evaluation and management services when applicable • Meets or exceeds departmental accuracy and productivity standards • Ensures compliance with national coding guidelines and Capital Health's policies for complete, accurate and consistent coding resulting in appropriate reimbursement and data integrity • Fosters teamwork and collaboration • Reviews CCI edits, MUE edits, LCD and NCD coverage before chart finalization • Identifies documentation gaps or inconsistencies and escalate when clarification is required • Collaborates with billing, charge review, and revenue integrity teams to prevent recurring issues • Addresses professional coding pre-bill edits timely to ensure minimal days in DNFB • Acts as a subject matter expert for professional coding • Performs other duties as assigned
Job Requirements
- High school diploma or equivalent
- Certified Professional Coder-Apprentice (CPC-A), Certified Professional Coder (CPC), or Certified Coding Specialist-Physician (CCS-P) certification required
- Associate's degree in health information management preferred
- Two years' experience in physician coding role preferred
- ICD-10-CM, 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
- Special Training: Physician coding and Training certification
- Proficient with Microsoft applications to include Outlook, Word, Excel, PowerPoint
- Medical Terminology, Anatomy and Physiology, or Pathophysiology knowledge
- CPC-A, CPC, or CCS-P required
- Ability to work in environment using multiple EMR systems
- 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
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