Determine and apply appropriate Current Procedural Terminology (CPT) and International Classification of Diseases (ICD 10) code(s) to services for billing. With quality and reimbursement contingent upon coding, it is the responsibility of the Physician Group Coding Specialist to have proper training in ICD-10, CPT-4, HCPCS and AAPC coding rules and principles. Coder has frequent interactions with internal and external clients. Coder focuses their work on detailed documentation abstraction from the EHR or other document and selection of CPT and DX coding based on this review. Perform 100% coding and billing review for all new Mount Nittany Phycisian Group providers. Serves as the liaison for immediate and ongoing documentation and improvement for physician coding practices, compliance and revenue optimization for all practices.
Education:
Experience:
Knowledge, Skills, Abilities:
Demonstrates knowledge of diagnostic and procedural terminology, medical terminology and disease processes (anatomy and physiology).
Self-motivated individual with personal integrity to organize work and work independently.
Possesses typing skills with basic knowledge of computer operations.
Demonstrates communication skills necessary to communicate to the clinical staff, physicians, managers, etc. for any clarifications regarding record questions or problems utilizing coding rules and principles.
License/Certification/Registration:
Certified Professional Coder (CPC) credential required within 1 year of hire/transfer.
Must maintain Certified Professional Coder (CPC) or other relevant credential by completing continuing education requirements.
Registered Health Information Technician (RHIT) credentials, Certified Coding Specialist (CCS), Certified Professional Coder (CPC) or other relevant credential, relevant experience, required upon hire/transfer.
Receives general supervision from the Supervisor, HIM Coding.
None
Mount Nittany Health is a healthcare organization that operates a physician group providing medical services. The organization employs coding specialists and maintains compliance with billing and coding standards through their Health Information Management (HIM) department. The physician group focuses on revenue optimization and documentation improvement across multiple clinical practices.
