Procedure Coder

Job Overview

The Procedure Coder role at US Digestive Health involves accurately coding and entering procedures, infusion, pathology, and professional charges into the Electronic Medical Record (EMR) system.

Key Responsibilities

• Ensure coding and charge entries are completed within 48 hours post-service date.
• Review physician documentation to assign appropriate CPT and ICD-10 codes for services provided.
• Enter all charges into the practice management system promptly.
• Investigate and resolve any coding-related edits or holds affecting claims.
• Stay updated with current billing, coding, and insurance standards and guidelines.
• Respond to coding and billing inquiries from colleagues and patients.
• Manage facility and departmental communication by daily reviewing all correspondence, including emails.
• Participate in Clinical Quality initiatives established by the facility, ensuring compliance with ambulatory medical record documentation.
• Utilize the Ambulatory Medical Record (AMR) system effectively according to facility protocols during patient care.

Qualifications and Skills

• Preferred coding certification from AAPC or AHIMA.
• Minimum education requirement: High School Diploma or GED equivalent.
• At least two years of physician coding experience.
• Familiarity with outpatient CPT, ICD-10, HCPCS coding, and medical terminology.
• Understanding of legal requirements for medical billing and documentation.
• Strong organizational and computer proficiencies including Microsoft Office and electronic health record systems.

Competencies

• Ability to work independently and efficiently with minimal supervision.
• Skilled in managing deadlines within a fast-paced work environment.
• Professional demeanor with courteous interaction towards visitors, patients, and coworkers.
• Patient-centered approach ensuring excellent service and genuine concern for others’ wellbeing.
• Effective written and verbal communication skills.
• Leadership qualities that encourage teamwork and group success.

Work Environment and Conditions

• Role operates mainly within a professional office setting using standard office equipment such as computers, phones, photocopiers, filing cabinets, and fax machines.
• Physical demands include occasional standing, walking, sitting, reaching, and lifting or moving items up to 25 pounds.
• Standard full-time hours Monday through Friday.
• No travel requirements.

Other Information

The position does not have supervisory responsibilities. Work authorization for the United States is required. US Digestive Health is an Equal Opportunity Employer dedicated to equitable hiring practices without regard to race, religion, gender, sexual orientation, age, disability, veteran status, or other legally protected factors. Employment decisions are made based on qualifications and business needs. The job description may be updated or modified as necessary.