Physician Coder

Under the general supervision of the Coding Manager, this position is responsible for converting diagnoses and procedures for professional claims into codes using the appropriate code set. The Physician Coder will ensure that encounters are coded in an accurate and timely manner and work closely with physicians and allied health professionals to accurately translate clinical documentation into ICD-10-CM, CPT, and APC codes.

Key Responsibilities

• Assign and sequence diagnosis codes, procedures, modifiers, and charge levels using ICD-10-CM, CPT, and HCPCS codes based on provider documentation.
• Consult providers for clarification when documentation is conflicting or ambiguous.
• Query providers to add information to the record before assigning unsupported codes.
• Monitor documentation turnaround time and productivity, and follow up on uncoded accounts or with providers and clinical staff as needed.
• Ensure medical record documentation and diagnoses are valid and complete prior to final coding.
• Provide coding and classification education to clinicians, including official coding guidelines.
• Follow the Inpatient and Outpatient Professional (Provider) Coding Compliance Plan, official coding guidelines, and ethical coding standards.
• Maintain established productivity and accuracy standards.
• Perform similar or related duties as assigned.
• Follow fire, disaster, and safety procedures and regulations applicable to the work area.