Coding Specialist II - Physician Group (Surgery Team)

Reviews medical record documentation, extracts data, and applies appropriate diagnosis and procedure codes for a complex multi-specialty physician group. The role supports professional fee billing, internal and external reporting, research, and regulatory compliance while following ICD-10-CM and CPT/HCPCS coding guidelines.

Responsibilities

• Assign code sets for professional fee physician coding across inpatient, outpatient, and ambulatory services, as well as charge entry services.
• Apply diagnostic and procedural codes using ICD-10-CM, CPT/HCPCS, and other designated classification systems.
• Sequence codes accurately based on medical record documentation.
• Verify code assignments provided by physicians and/or designated staff.
• Use the 3M Encoder to determine the most accurate code within required timeframes.
• Follow current regulatory coding requirements and guidelines.
• Maintain weekly coding productivity logs and communicate coding issues to leadership.
• Maintain coding accuracy of 90% or better.
• Meet productivity standards for records coded per hour.
• Review claims and correct Claims Manager and/or Epic edits.
• Maintain confidentiality of patient information.
• Participate in in-service education, updates, and conferences to stay current on coding requirements.
• Maintain AHIMA and/or AAPC credentials.