Edison, NJ, 08899, USA
13 days ago
Physician Coder III, Physician Billing
**Overview** Our team members are the heart of what makes us better. At **Hackensack Meridian** **_Health_** we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The **Physician Coder III** is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives across Hackensack Meridian Health (HMH) network. Performs data entry of required abstracted patient information into the electronic medical record system. Queries physicians when appropriate. **This is a fully remote position.** **Responsibilities** A day in the life of a **Physician Coder III** at Hackensack Meridian _Health_ includes **:** + Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines and coding conventions. + Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. + Analyzes medical records and identifies documentation deficiencies. + Reviews and verifies documentation supports existing diagnoses, procedures and other charges. + Identifies reportable elements, complications, and other quality measures. + Communicates with physicians to clarify information via the physician query process + Assign CPT, HCPCS and ICD-10-CM codes. + Proficient in Profee Coding and E/M guidelines (95/97, 2021 update) + Knowledge of and ability to address National Correct Coding Initiative (NCCI) and National Coverage Determinations (NCD) / Local coverage determinations (LCD) edits. + Maintains required productivity and quality requirements. + Other duties and/or projects as assigned. + Adheres to HMH Organizational competencies and standards of behavior. **Qualifications** **Education, Knowledge, Skills and Abilities Required:** + High School diploma, general equivalency diploma (GED), and/or GED equivalent programs. + Minimum of 3+ years of coding experience, Trauma Level 1 and Academic Teaching facility. + Focused background in Physician and Profee coding with knowledge of E/M guidelines. + Proficient in coding in office/outpatient procedures in an office and outpatient hospital setting. + Strong understanding of physiology, medical terms and anatomy. + Proficiency in computer skills including typing speed and accuracy. + Excellent written and verbal communication skills. + Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms. **Education, Knowledge, Skills and Abilities Preferred:** + Multiple years of coding experience, Trauma Level 1 and Academic Teaching facility. + Background in multi-specialty Physician services. **Licenses and Certifications Required:** + Registered Health Information Technician or Registered Health Information Administrator Certification or Certified Coding Specialist or Certified Professional Coder. + An approved American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) coding credential. **Licenses and Certifications Preferred:** + An approved American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) coding credential. If you feel that the above description speaks directly to your strengths and capabilities, then please apply today! **Job ID** _2024-153039_ **Department** _Professional Specialize Coding_ **Site** _HMH Physician Services, Inc._ **Job Location** _US-NJ-Edison_ **Position Type** _Full Time with Benefits_ **Standard Hours Per Week** _40_ **Shift** _Day_ **Shift Hours** _Days_ **Weekend Work** _No Weekends Required_ **On Call Work** _No On-Call Required_ **Holiday Work** _No Holidays Required_
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