I. JOB SUMMARY/RESPONSIBILITIES:
• Responsible for conducting internal audits of coding and documentation to ensure compliance with coding guidelines and federal and state regulations.
II. TYPICAL PHYSICAL DEMANDS:
• Essential: sitting, stooping/bending, finger dexterity, seeing, hearing, speaking, lifting, and carrying usual weight of 5 pounds, repetitive arm/hand motions, static gripping of an object for prolonged periods, frequent gripping of an object.
• Occasional: standing, walking, kneeling, climbing stairs, squatting, twisting body, lifting weight up to 10 pounds, pushing/pulling usual weight of 2 pounds up to 5 pounds of force, reaching above, at and below shoulder level.
• Operates computer, calculator, and telephone.
III. TYPICAL WORKING CONDITIONS:
• Not substantially subjected to adverse environmental conditions.
IV. MINIMUM QUALIFICATIONS:
A. EDUCATION/CERTIFICATION AND LICENSURE:
• Certification as an Outpatient Physician Coder (CPC) or Certified Coding Specialist -Physician based (CCS-P) required.
• Certification as Medical Auditor (CPMA) preferred.
B. EXPERIENCE:
• Minimum two (2) years experience in physician coding, preferably in a comparable organization.
• Experience to demonstrate the following:
o Knowledge of CPT-4, ICD-9 and ICD-10 CM coding.
o Knowledge of medical terminology and abbreviates.
o Proficient in Evaluation and Management coding.
o In depth knowledge of PATH, incident to and split shared.
o Proficient in Microsoft Office applications (i.e. Excel, PowerPoint, Word).
• Experience in auditing and physician education of CPT preferred.