Job Description:
Join Our Team as a Medical Coder at Colorado Physician Partners!
Are you detail-oriented and passionate about ensuring accurate medical documentation and billing? Colorado Physician Partners is seeking a dedicated Medical Coder to play a key role in our healthcare team. In this position, you'll collaborate closely with our clinical and administrative staff to ensure precise coding of medical procedures and diagnoses, supporting optimal patient care and efficient revenue cycle management. Your expertise will help maintain compliance with industry standards and contribute to a professional, trustworthy environment for both patients and providers.
General summary of duties: Responsible for understanding clinical documentation and how it relates to medical coding, coding guidelines and payer rules. Responsible for transcribes a patient's medical history into a database using standardized codes. This includes diagnosis and treatment and is typically later used for insurance and medical billing purposes.
Essential Responsibilities and Examples of Duties: (This list may not include all of the duties assigned.)
- Understands various payer types and how coding is impacted.
- Utilize and navigate the EHR and Practice Management software appropriately to review documentation and process charges efficiently and accurately.
- Analyzes provider documentation to ensure the appropriate CPT, HCPCS, ICD-10-CM codes and modifiers are fully supported and accurately reported.
- Provides expertise to Billing Staff in addressing appeals for denials due to potential coding errors.
- Reviews charge line codes for accuracy to support the charge posting process.
- Execute daily workload within full compliance of state and federal coding regulations.
- Meets or exceeds any set coding goals.
- Review, analyze, code and process charges.
- Review of ICD-10-CM, CPT and HCPCS coding of provider documentation.
- Summarizes and reports the trends of provider documentation to appropriate leadership.
- Maintains required continuing education and certifications that are essential to the position.
- Perform self-audits and reviews/corrects Coding Supervisor audit reports to maintain a 95% coding accuracy.
- Collaborates with Coding team, Coding Leadership and Provider Staff on coding training, reviews, and shares knowledge as it is gained.
- Utilizes appropriate resources to accurately abstract data and code provider and nurse visits.
- Stay abreast of code changes and documentation requirements as they occur.
- Communicates with providers and support staff as needed to resolve any coding issues.
- Performs other related duties as required and assigned.
- Assist with other duties within the revenue cycle.
- Peer review.
- Attend weekly huddles.
- Attend mandatory trainings and in person meetings.
Typical physical demands:
- Work may require sitting for long periods of time, stooping, bending, and stretching for files and supplies, and occasionally lifting files or paper weighing up to 30 pounds.
- Ability to sufficiently operate a keyboard, calculator, telephone, copier, and such other office equipment as necessary.
- Must be able to record, prepare, and communicate appropriate reports in a verbal and written format.
- It is necessary to view and type on computer screens for long periods and to work in an environment which can be very stressful.
Typical working conditions:
- Work is done in a typical physician business office department or at home if on hybrid schedule.
- Interaction with others can be constant and activities can be frequently interrupted.
- It is necessary to view and type on computer screens for frequent periods and to work in an environment which can be a very collaborative practice.
Other Related Job Requirements:
- 3+ years coding primary care experience.
- HCC Certification preferred
- Extensive knowledge of medical terminology, anatomy, and physiology
- Personable and professional demeanor.
- Maintain neat and clean appearance.
- Maintain sense of responsibility
- Ability to read, write and speak English clearly and concisely.
- Ability to read, understand, and follows complex oral and written instructions.
- Ability to maintain quality control standards.
- Ability to react calmly and effectively in emergency situations.
- Ability to interpret, adapt, and apply guidelines and procedures.
- Prioritizes work and completes in a timely manner to satisfy deadlines.
- Communicates questions or concerns for prompt resolution. Participates in problem-solving discussions.
- Actively seeks to acquire and maintain skills and continuing education appropriate to this position.
- Initiates and attends meetings as needed if applicable.
- Performs related work as required.
Job Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Knowledge, skills, and abilities:
- High school diploma or equivalent education required.
- CPC (AAPC) or CCS (AHIMA) certification required.
- 3+ years coding primary care experience.
Salary Range:
$17.45 - $23.27