Physician Coder

Under general supervision of the Coding Manager, the Physician Coder is responsible for converting diagnoses and procedures for professional claims into codes using the appropriate code sets. This role ensures encounters are coded accurately and in a timely manner while working closely with physicians and allied health professionals to translate clinical documentation into ICD-10-CM, CPT, and APC codes.

Key responsibilities include:

• Assigning and sequencing diagnosis codes, procedures, modifiers, and charge levels using ICD-10-CM, CPT, and HCPCS codes based on provider documentation.
• Consulting providers for clarification when documentation is conflicting or ambiguous.
• Querying providers to add information to the record before assigning unsupported codes.
• Monitoring documentation turnaround time and productivity.
• Following up on uncoded accounts and collaborating with providers and clinical staff as needed.
• Ensuring medical record documentation and diagnoses are valid and complete before final coding.
• Providing coding and classification education to clinicians, including official coding guidelines.
• Following the Inpatient and Outpatient Professional Coding Compliance Plan and ethical coding standards.
• Maintaining productivity and accuracy standards.
• Performing similar or related duties as assigned.
• Following fire, disaster, and safety procedures as they apply to the work area.