Overview

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

The Physician Coder III is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives across Hackensack Meridian Health (HMH) network. Performs data entry of required abstracted patient information into the electronic medical record system. Queries physicians when appropriate.

This position is remote.

Responsibilities

A day in the life of a Physician Coder III at Hackensack Meridian Health includes:

• Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines and coding conventions.

• Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.

• Analyzes medical records and identifies documentation deficiencies.

• Reviews and verifies documentation supports existing diagnoses, procedures and other charges.

• Identifies reportable elements, complications, and other quality measures.

• Communicates with physicians to clarify information via the physician query process

• Assign CPT, HCPCS and ICD-10-CM codes.

• Proficient in Profee Coding and E/M guidelines (95/97, 2021 update)

• Knowledge of and ability to address National Correct Coding Initiative (NCCI) and National Coverage Determinations (NCD) / Local coverage determinations (LCD) edits.

• Maintains required productivity and quality requirements.

• Other duties and/or projects as assigned. 12. Adheres to HMH Organizational competencies and standards of behavior.

Qualifications

Education, Knowledge, Skills and Abilities Required:

• High School diploma, general equivalency diploma (GED), and/or GED equivalent programs.

• Minimum of 3+ years of coding experience, Trauma Level 1 and Academic Teaching facility.

• Focused background in Physician and Profee coding with knowledge of E/M guidelines.

• Proficient in coding in office/outpatient procedures in an office and outpatient hospital setting.

• Strong understanding of physiology, medical terms and anatomy.

• Proficiency in computer skills including typing speed and accuracy.

• Excellent written and verbal communication skills.

• Proficient computer skills including but not limited to Microsoft Office and Google Suite platforms.

Education, Knowledge, Skills and Abilities Preferred:

• Multiple years of coding experience, Trauma Level 1 and Academic Teaching facility.

• Background in multi-specialty Physician services.

Licenses and Certifications Required:

• Registered Health Information Technician or Registered Health Information Administrator Certification or Certified Coding Specialist or Certified Professional Coder.

• An approved American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) coding credential.

Licenses and Certifications Preferred:

• An approved American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) coding credential.

Job ID 2024-146532

Department Professional Specialize Coding

Site HMH Physician Services, Inc.

Job Location US-NJ-Edison

Position Type Full Time with Benefits

Standard Hours Per Week 40

Shift Day

Shift Hours Day

Weekend Work No Weekends Required

On Call Work No On-Call Required

Holiday Work No Holidays Required