RE: RE:Coding position with a hospital-owned physician group

Here's ours.


I. Basic Purpose:

This position is accountable for review and assignment for diagnosis and procedure coding for outpatient physician services at a Medicenter and/or primary care office.

II. Major Duties and Responsibilities:

1. Complies with established corporate and departmental policies, procedures, objectives, quality assurance methods, and safety codes. Demonstrates compliance with licensing, regulatory and accrediting agency provisions as required.

1. Consistently demonstrates appropriate and professional communication behavior toward patients, customers, and coworkers. Cooperates with Management and peers to promote an environment of teamwork and collaboration.

3. Verifies CPT-4 codes from reports.

4. Abstracts medical records into the EPIC information system.

5. Links appropriate medical necessity to diagnostic tests and services. Applies modifiers as appropriate.

6. Generates and analyzes reports for maintenance of acceptable departmental guidelines regarding outstanding accounts due to coding issues and maintains unbilled accounts within established standard.

7. Serves as a resource to site staff relative to ICD-9 and CPT-4 information.

8. Collaborates with Patient Account Reps relative to resolve any medical necessity/claim filing issues.

9. Makes recommendations to management on coverage issues and coding related issues.

10. Maintains current coding knowledge through literature, peers and affiliation with coding organizations.

11. Exhibits professional work habits such as keeping area neat and organized. Cross trains and is able to perform duties and responsibilities associated with coding as directed by the Coding Manager.

12. Attends meetings as required.

1. Performs all other duties as assigned or requested.

III. Minimum Requirements (experience, training, and education):

To effectively fulfill the requirements of this position, a candidate must have high school diploma or equivalent. One to two years' experience in a physician office setting preferred. Must have basic coding course, strong knowledge of medical terminology and anatomy/physiology. Knowledge of ICD-9 and CPT coding required.

IV. Physical Requirements: (Clerical I)

Position is mostly sedentary and requires the ability to sit for prolonged periods. Lifting and carrying weights of up to 10 pounds from low to high levels is occasionally required and is an essential function of the position. Grasping and reaching are frequently required handling demands. Occasional walking, bending, kneeling, reaching overhead, and standing are also required. Independent decision-making is required. Mental concentration and working with precise limits of accuracy are important. Physically repetitive work comprises 90% of this job.

V. OSHA Exposure Category:

3 - Tasks do not involve exposure to blood, body fluids or tissue as a condition of employment. Incumbent is not called upon as part of his/her position to perform or assist in emergency medical care or first aid, or to be potentially exposed in some way.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities

Jorge R Quintero, MHA, CRCE-P
Manager, Medical and Financial Management
Martin Health System
Office Main: 772-223-5945, ext 14925
Office Direct: 772-223-4925
Fax: 772-223-5646

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From: Karen Hurley CMM CPC []
Sent: Tuesday, June 14, 2016 2:58 PM
To: Multiple recipients of list PARTB-L
Subject: RE:[partb-l] Coding position with a hospital-owned physician group

A question for the group:

If you work for a hospital-owned physician group, can you define your job responsibilities as the "certified coder"?

I'm curious as to the different ways this position can be used, as I am trying to help define a position with an area hospital.

Thanks !

Karen A. Hurley, BS, CMM, CPC, CNA
President, HPMSI
PO Box 409
Parrish, FL 34219
Tel: (941) 776-4822
Fax: (240) 368-0059

Since 1996, Celebrating 20 years of Service to Physicians

Disclaimer: Advice or comments given in this email are specific only to the recipient and the presented issue. It is not intended to be used as a global solution for future similar events. Reproduction of the information requires approval by the author.

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