Cone Health

Not-for-profit healthcare network delivering hospital care

Professional Physician Coder

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours

Full-timeUnited StatesNo salary listedHybrid

About the Job

Requirements

A high school diploma or equivalent is required.
Computer and typing literacy, knowledge of anatomy, physiology, and medical terminology are required.
Entry-level physician-certified coding experience in professional or physician practice coding is required.
One of the following national certifications is required: Certified Professional Coder through the American Academy of Professional Coders, with CPC-A as the minimum requirement; Certified Coding Specialist through the American Health Information Management Association; Certified Coding Specialist-Physician through the American Health Information Management Association; or Certified Medical Coder through Practice Management Institute.

Responsibilities

Review medical records and code physician services using current International Classification of Diseases, Tenth Revision, Current Procedural Terminology, and Healthcare Common Procedure Coding System classifications.
Code diagnoses, comorbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs using International Classification of Diseases, Tenth Revision, Current Procedural Terminology, and Healthcare Common Procedure Coding System classifications.
Assist the Central Business Office with appropriate and complete follow-up of patient accounts to maximize reimbursement, including insurance denials.
Notify the Team Lead, Manager, or Compliance department of compliance violations discovered during the review process.
Communicate with physicians, physician extenders, physician offices, coding team members, and the manager.
Use departmental resource materials to support accurate coding practices.
Maintain patient confidentiality.
Maintain reasonably regular and punctual attendance consistent with organizational policies and applicable federal, state, and local standards.
Perform other assigned duties.

Desired Qualifications

An associate degree, preferably in Medical Office Billing, is preferred.
Prior physician practice experience is highly desirable.

Administrative Support

Excited to grow your career?

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!

Our people make all the difference in our success.

The Professional Physician Coder accurately and efficiently accesses wide range physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. This role is an entry level professional physician coding role.
Essential Job Function

Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems.
Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS?all levels).
Assists with the Central Business Office to ensure appropriate and complete follow up of patient accounts to maximize reimbursement (ie, Insurance Denials).
Notifies Team Lead, Manager, and/or Compliance department of any compliance violations that are discovered during the review process.
Communicates effectively with physicians, physician extenders, physician offices, members of the coding team and manager.
Utilizes resource material available in department to support accurate coding practices.
Maintains patient confidentiality.
Maintains reasonably regular, punctual attendance consistent with the organization's policies, the ADA, FMLA and other federal, state, and local standards.
Performs other duties as assigned.

Education

Required: High school diploma or equivalent; Computer/typing literacy, knowledge of Anatomy, Physiology and Medical terminology requiredPreferred: Associate degree preferably with Medical Office Billing

Experience

Required: Entry level physician certified coding experience in professional or physician practice coding. Preferred: Prior physician practice experience is highly desirable.

Licensure/Certification/Listing

Required: One of the following national certifications: Certified Professional Coder (CPC) through the American Academy of Professional Coders. CPC-A is a minimum requirement. Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA). Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA). Certified Medical Coder (CMC) through Practice Management Institute.

Work Shift :

Days/No Weekends (United States of America)

On Call Required

FTE:

Job Type:

Full Time (40 Hours/Week)

About the Company

Cone Health

Not-for-profit healthcare network delivering hospital care

Cone Health is a not-for-profit healthcare network that serves communities in Alamance, Forsyth, Guilford, Randolph, Rockingham, and surrounding counties by operating hospitals, primary and specialty care clinics, and centers for heart and vascular care, cancer treatment, women’s and children’s health, and advanced imaging. Its services are delivered through a system of hospitals, clinics, and the Cone Health Medical Group and Triad HealthCare Network, with revenue coming from patient services, insurance reimbursements, and government programs. The network differentiates itself by emphasizing community care and serving underserved populations, supported by a large staff, physician partners, and volunteers, and it holds recognized workplace culture awards. The goal is to provide high-quality, accessible healthcare and improve health outcomes across its diverse service areas.

Company size: 5,001-10,000
Company stage: Seed
Total funding: $100K
Headquarters: Greensboro, NC
Founded: 1953

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