Coder Physician

Summary/Objective 
Under limited supervision the Coder Physician reviews medical records and performs coding on all diagnoses, procedures, DRG/APC, and charge codes. The Coder Physician uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient’s treatment. The Coder Physician will be charged with maintaining the confidentiality of patient records and procedures. 

Essential Job Functions 

• Responsible for abstracting, coding, sequencing and interpreting the clinical information from inpatient, outpatient, emergency department, pro fee, and clinical medical records. 

• Responsible for the assignment of correct principal diagnoses, secondary diagnoses and principal procedure and secondary procedure codes with attention to accurate sequencing. 

• Utilizes technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes. 

• Abstracts and codes pertinent medical data into multiple software programs and/or encoders. Follows official coding guidelines to review and analyze health records. 

• Maintains compliance with both external regulatory and accreditation requirements, and with State and Federal regulations. 

• Extracts pertinent data from the patient’s health record and determines appropriate coding for reports and billing documents. 

• Identifies codes for reporting medical services, procedures performed by physicians. Enters codes into various computer systems dependent upon the various clients. 

• Track and document productivity in specified systems, maintain productivity levels as defined by the client. 

• Maintain 95% quality rating 

• Perform duties in compliance with Company’s