Certified Professional Coder - Shore Medical Center

Position Summary

Certified Professional Coder provides quality review and analysis of a wide range of patient medical records, ensure accuracy of coding, and maintain records in accordance with accepted medical and legal standards. Responsible for reviewing medical records to assure proper billing of the medical record, comparison of physician chosen CPT and ICD-10 codes to the physician’s documentation to substantiate the level of coding, and complete review of medical records to accurately optimize all professional services documented for billing.

Responsibilities

• Verifies patient demographic data for accuracy and completeness
• Performs audit of services on a daily basis for accuracy
• Evaluates designated medical records to identify diagnoses, operations and procedures, and accurately assigns and sequences ICD-10 and/or CPT codes
• Reviews the accuracy and consistency of medical record documentation and brings any inconsistencies to the attention of the appropriate individual
• Achieves and meets expectation rating on coding audits
• Sequence codes appropriately for accurate billing
• Communicates effectively with SPG workforce about coding issues, and resolves any discrepancies in accordance with applicable guidelines
• Assists with responding to audits and/or data requests as necessary
• Assists with Revenue Cycle Manager and/or Supervisor to resolve coding edits as needed
• Keeps current in area of expertise and assures that standards and practices within the site reflect best practice in coding
• Recognizes and performs duties which need to be performed although not directly assigned

Qualifications

• CPC, CCS, RHIT or RHIA preferred
• Knowledge of medical terminology, anatomy and physiology, medical insurance, and medical practice services and routines
• Previous experience in EMR, Athena preferred
• Coding experience of one year or more

Why Join Us?

At Shore Physicians Group, we work hard and take pride in accomplishing our mission statement of “Treating People Well”. We are looking for employees who strive to be the best in their field and enjoy exchanging knowledge in an interactive environment.

Shore Physicians Group offers a professional, enjoyable work environment, and generous benefits including:

• 401(k)
• 401(k) matching
• Medical/Dental/Vision insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Certification reimbursement
• Referral incentive program
• Local community employee discounts
• Free Parking

Additional Information

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required.
• This job description should not be construed as an exhaustive statement of duties, responsibilities or requirements, but a general description of the job. Nothing contained herein restricts the company’s rights to assign or reassign duties and responsibilities to this job at any time.
• Shore Physicians Group is an Equal Opportunity Employer. All applicants will receive consideration for employment without regard to sex, affectional or sexual orientation, gender, gender identity, orientation or expression; marital status, domestic partnership status, civil union status, pregnancy, race, creed, ancestry, color, ethnicity, national origin, age, disability, religion, genetic information, or veteran status or any other basis prohibited by law.

PI250289466