Moffitt Cancer Center · 23 hours ago

PROFESSIONAL PRACTICE EVALUATION MANAGEMENT CODER

Tampa, FL

Full-time

Remote

Entry, Mid Level

2+ years exp

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Responsibilities

Coding encounters with the proper codes and modifiers for all billable professional services utilizing ICD10CM, ICD10PCS, CPT, and HCPCS code sets in accordance with coding compliant guidelines, federal regulations and accreditation guidelines.

Analyzes and review medical record documentation in the medical record for the purpose of assigning code sets to the documentation.

Codes for 100% of medical records/encounters for each assigned area or encounter type within five working days following discharge with 97% coding accuracy as demonstrated by monthly coding audit.

Codes for 100% of medical records/encounters for each assigned clinic or encounter type daily with recommended productivity standard as set forth in the HIM-PPC KPI.

Time Management Utilize time management to ensure that all codes are audited and correctly entered or added. All edits are resolved within the set timeframe.

Alert coding educator, supervisor, and manager of coding in identifying and analyzing problems or issues that prevent coding of any encounters.

Knowledge and expertise necessary to perform the query process to clarify and confirm clinic documentation.

Maintain Continue Education Units ("CEUs"): For credentials/certifications and education to stay current with all coding and skills to accurately abstract and code medical encounters and records.

Assign appropriate Merit-based Incentive Payment System codes in alignment with adopted quality measures. Assign appropriate Patient Relationship Categories and Codes on all encounters to ensure accurate attribution of patients and encounters to Moffitt Medical Group providers. Assign Appropriate Use Criteria codes and modifiers for all encounters.

Qualification

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ICD-10-CMCPTHCPCSCPCCCSCPMACOCCCS-PRHITRHIAHealth care codingMedical record analysisQuery processContinuing Education Units

Required

High School Diploma/GED

Two (2) years health care coding experience with ICD-10-CM, CPT and HCPCS classification systems for evaluation management coders.

Required Certification: (CPC) Certified Professional Coder

Required Certification: (CCS) Certified Coding Specialist

Required Certification: (CPMA) Certified Professional Medical Auditor

Required Certification: (COC) Certified Outpatient Coder

Required Certification: (CCS-P) Certified Coding Specialist – Physician

Required Certification: (RHIT) Registered Health Information Technician

Required Certification: (RHIA) Registered Health Information Administrator

Any certification not listed above, but issued from one of the approved Governing Bodies listed below, may be considered by the business to satisfy this requirement