Professional Service Coder III

JOB PURPOSE

Enters and validates professional charges for Cottage Urgent Care locations, professional office visit charges for Cottage professional MD services, and inpatient physician services and surgical procedures. Evaluates medical records, completes clinical data abstraction and assigns appropriate clinical diagnosis and procedure codes in accordance with nationally recognized coding guidelines for reporting and billing of physician and allied health services. CDM review, pricing updates and pricing CPT codes.

QUALIFICATIONS

All job qualifications listed indicate the minimum level necessary to perform this job proficiently.

LEVEL OF EDUCATION

Minimum: Formalized education that provides knowledge and experience in the following areas: 1) Assigning ICD-10-CM and CPT coding classifications; 2) Medical terminology, anatomy, chemistry, pharmacology, physiology, and disease process 3) medical record keeping principles and practices. Preferred: Associate's Degree in Health Information Management

CERTIFICATIONS, LICENSES, REGISTRATIONS

Minimum:

Certified Professional Coder (CPC) or Certified Coding Specialist Professional based (CCS-P) AND a specialty certification through AAPC or AHIMA

Preferred:

Certified Professional Coder (CPC) or Certified Coding Specialist Professional based (CCS-P) AND a specialty certification in Endocrinology, Cardiology, Pediatrics, Behavioral Health, Rheumatology, or Gastroenterology.

TECHNICAL REQUIREMENTS

Minimum:

Preferred: Experience using Epic Electronic Health Record and use of Optum Encoder

YEARS OF RELATED WORK EXPERIENCE

Minimum: 2 years of professional coding experience

Preferred: 4+ years coding for professional services, including procedure and surgical cases