Coding Specialist - PPG

Work Location: Peartree Way, Beaver PA 15009. Hybrid following training period.
Work Hours: Primary Daylight, Monday thru Friday.

Responsible for coding professional fee outpatient medical records in order to ensure a correct diagnosis, office visit and/or procedure code assignment. Ensures timely and accurate code assignment in accordance with both federal and state specific requirements/guidelines. Accurately applies coding utilizing ICD-10-CM, CPT, Modifiers, HCPCS codes.

REQUIRED

Associate’s Degree in Health Information Management, Healthcare Business, or an equivalent program with emphasis in coding or a minimum of two years active coding professional fee experience. Current certification through AAPC, to include CPC and CPB credentials, or must obtain within 1 year or hire. Evaluation and Management (E & M) pro-fee coding experience required. Knowledge of professional and technical component documentation, coding and billing regulations and reimbursement systems. Ability to maintain weekly productivity and accuracy. Successful completion of applicable requirements as outlined in Human Resources policy HR-106 within 90 days of commencing employment.

PREFFERED

Experience or certification in a specialty area (i.e, Cardiology, Foot & Ankle, Orthopedics). Understanding of M.E.A.T. criteria, hierarchical condition category (HCC) and risk adjustment factors (RAF).