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Inpatient and Physician Coder (CH)

Keywords / Skills : Inpatient and Physician Coder (CH), Physicians, CPT, HCPCS, inpatient records, Physiotherapy, Medical Coder

1 - 4 years
Posted: 2019-06-13

Industry
Recruitment/Staffing/RPO
Role
Other Roles
Posted On
13th Jun 2019
Job Ref code
9090546
Job Description
Job Description :

The Inpatient and Physician Coder is responsible for reviewing and abstracting appropriate CPT, HCPCS, and ICD-10 codes for both the Inpatient Setting and Provider Services. The coder ensures that coding guidelines are followed in line with federal and/or state requirements as well as with correct coding initiatives.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Reviews medical record documentation to identify services rendered and accurately code the diagnoses and services using the appropriate ICD-10, CPT and HCPCS codes for the purpose of accurate reporting.
- Reviews the medical record to ensure the highest level of specificity of diagnoses, procedures, and modifiers for appropriate reimbursement related to hospital and professional charges.
- Works with the account managers when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
- Keeps abreast of coding guidelines and reimbursement reporting guidelines and brings identified concerns to management for resolution.
- Effectively assigns ICD-10 codes and DRGs to inpatient records.
- Responsible in maintaining 90% to 95% in ICD-10, CPT, HCPCS, and DRG accuracy.
- Meet or exceed productivity expectations.
- Stay current with certification requirements for mandatory/continuing education and skills competency.
- Serve as a resource to the Revenue Cycle team on coding questions, corrected claims, and/or clarification.
- Maintains regular attendance
- Other duties as assignedQUALIFICATION REQUIREMENTS:
- Licenses/Certifications: Coding Certification from the American Association of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA) required
- Three (3) years of hospital inpatient and physician coding experience.
- Effective oral and written communication skills.
- Strong knowledge of ICD-10-CM, HCPCS, CPT, and PCS coding.
- Analytical skills necessary to interpret data contained in the health records and to assign appropriate codes.
- Strong knowledge of human anatomy, physiology, medical terminology and surgical terminology.
- Critical thinking, good judgment and decision making skills
- Knowledge of coding compliance policies, official coding guidelines, regulatory requirements and internal policies and procedures affecting the coding process.
- Proficient in Microsoft Excel
- Proficient in navigating a Windows-based application environment.

About Company

Sourcefit, an ISO 9001:2008 certified business process outsourcing (BPO) company based in Manila, Philippines, provides custom offshore staffing solutions. The company was founded in November 2006 for the purpose of undertaking development of mobile-phone related applications. As its capacity grew in 2007, the company was approached by a Fortune 500 telecom industry partner to provide process consulting and content moderation services on an outsourcing basis. In 2008, Sourcefit again expanded and began offering services to industries beyond the telecom sector. We currently offer BPO services to a wide range of companies in the IT, Direct Marketing, Banking, Hospitality, Retail, Telecom, Transport & Logistics, Accounting & Finance, Construction, Mining, Travel, Marketing & Advertising, and Journalism industries and we occupy offices in the CyberOne Building in the Eastwood Cyberpark in greater Manila. The company was founded by Andy Schachtel, an American entrepreneur with over 20 years of experience in outsourcing both on the client side and as a provider. The company is growing steadily but adheres strictly to a policy of close, personal service for each of our clients. Above all, we endeavor to make sure each of our clients feels they can command our undivided attention as we provide them with a customized solution that not only fits their business needs, but also delivers maximum process optimization. We aim to be the premier choice for offshore staffing solutions for Small and Medium Businesses worldwide. Visit our Recruitment office from Monday to Friday, 9am to 5pm with your resume and valid ID. Our offices are at the 21st Floor, CyberOne Bldg, Eastwood Cyberpark, 1110 Bagumbayan, Quezon City.
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