Determine and apply appropriate Current Procedural Terminology (CPT) and International Classification of Diseases (ICD 10) code(s) to services for billing. Responsible for proper training in ICD-10, CPT-4, HCPCS and AAPC coding rules and principles. Focuses on detailed documentation abstraction from EHR or other documents and selection of CPT and diagnosis coding based on review. Performs 100% coding and billing review for all new Mount Nittany Physician Group providers. Acts as liaison for documentation improvement for physician coding practices, compliance, and revenue optimization.
Education: Associates Degree from an approved Health Management Technology program or relevant Technical Certification preferred; equivalent experience may be accepted.
Experience: Prefer two years previous experience in diagnosis, E/M, and procedure coding.
Knowledge & Skills: Knowledge of diagnostic and procedural terminology, medical terminology and disease processes (anatomy and physiology). Self-motivated, able to organize work independently. Basic computer and typing skills. Effective communication with clinical staff, physicians, and managers regarding coding clarifications.
Licenses & Certifications: Certified Professional Coder (CPC) credential required within one year of hire, with ongoing maintenance. RHIT or Certified Coding Specialist (CCS) or CPC credential required upon hire/transfer.
Responsibilities:
- Assign appropriate codes for diagnoses, treatments, and procedures maintaining 95% accuracy.
- Communicate with clinical staff for accurate coding documentation and resolve coding issues.
- Mentor and assist in training coders; participate in development of coding policies and internal audits.
- Coordinate new provider education and ensure accuracy targets for new providers.
- Cross-train across various practices.
- Interact with Revenue Cycle regarding coding trends.
- Meet performance standards.
Work Location: 945 E Bishop St, Bellefonte, PA 16823
Shift: Day shift, 8 hour shifts, no call or weekend requirements.
- Associates Degree from approved Health Management Technology program or equivalent combination of education/experience
- Two years of experience in diagnosis, E/M, and procedure coding preferred
- Knowledge of medical and procedural terminology, anatomy and physiology
- Certified Professional Coder (CPC) credential required within 1 year of hire
- Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or CPC credential upon hire
- Strong communication skills for interacting with clinical staff and providers
- Ability to work independently and organize workload
- Basic typing and computer skills
Location
Pennsylvania, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
4 weeks ago