Job Summary
Demonstrates through behavior Decatur Morgan Hospital’s mission, vision and values.
The Certified Professional Coder is responsible for accurate coding assignments of services performed in a medical office setting, hospital setting or outpatient surgical setting for physician and non-physician providers professional fees. Based upon the provider documentation as well as other supporting clinical documentation/reports where acceptable and appropriate the coder using their training, expertise and software tools will assign/confirm diagnoses and procedures as indicated in the patient medical record. Classification systems include Current ICD-10-CM and current CPT edition, current HCPCS Level II and all coding is in accordance with official coding guidelines from the American Medical Association and AAPC - Codify All work is carried out in accordance with the Decatur Morgan approved policies and procedures.
Minimum Knowledge, Skills, Experience Required
Education:
High School Diploma, GED required. Must have minimum of CPC (Certified Professional Coder) Certification. Additional coder certifications desirable.
Experience:
Must possess in-depth knowledge of medical and anatomical terminology, reimbursement principles, EMR, sequencing of diagnoses, and the use of coding software. Prefer a minimum of 1 or more years of active coding within a medical office setting preferably multi-specialty, surgical, OB/GYN other specialties a plus. Ability to communicate fluently with physician and non-physician care providers to question and provide guidance to ensure coding accuracy and compliance. Ability to interact with billing specialists understanding the impact of proper coding on reimbursement and denials.