The PB Coder is responsible for reviewing, analyzing, and accurately coding ambulatory and/or hospital-based encounters. This role performs initial charge review for E/M visits, diagnostic tests, and procedures across multiple specialty departments to determine the appropriate assignment of CPT, ICD-10, HCPCS codes, and modifiers for reporting physician services to third-party payers.

Requirements

, and reimbursement policies.

and other reimbursement policies such as surgical global package Interprets outpatient office visit notes/hospital patient encounters and charge documents to determine services provided and accurately assign CPT, Modifiers, and ICD-10 DX coding to these services Performs comprehensive review of all types of encounters to assure all vital information such as patient identification, signatures, attestation, and dates are present in the record. Evaluate documentation for consistency and adequacy.

Communication - communicates clearly and concisely, verbally and in writing Persistence – comfortable pursuing, rebutting and escalating issues as appropriate Goal-oriented – holds him/herself accountable to achieving shared professional and personal goals. Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations Interpersonal skills – establishing and maintaining effective working relationships with employees, and external parties. PC skills - demonstrates high proficiency in Microsoft Office applications, especially Microsoft Excel, and others as required Writing skills –advanced writing skills with ability to present a compelling argument, punctuate properly, spell correctly and transcribe accurately Education/Experience : Certified professional coder CCS-P, CPC, RHIT or RHIA through AAPC or AHIMA with a minimum of two years’ experience with CPT/ICD-10 coding of multispecialty services preferred.

Clear understanding of protocols and procedures in a medical office including health information management, confidentiality, and safety Organize and prioritize

Responsibilities

: Analyzes provider documentation to assure appropriate Evaluation Management (E/M) levels are assigned using the correct CPT and current Evaluation and Management Guidelines Analyzes provider documentation to assure that appropriate CPT codes are assigned for surgeries and other diagnostic procedures.

Follows and adheres to all WWT policies such as Coding Audit Policy and Physician Coding Query In-Basket Policy Provide real time feedback to providers on all coding changes and trends via EPIC in basket message Regularly participate and engage all coding meetings and other ad-hoc meetings as needed. Works in coordination with other members of the physician’s office/departments as necessary Collaborates with Coding Management Team for special coding and billing projects if assigned Resolving coding denials assigned by applying coding knowledge and skills.

while remaining flexible to changing demands Excellent written and oral communication skills, with the ability to interact with patients, families, staff and others.