Pay Range: $25.00 to $36.00 an hour

By adhering to Connecticut State Law, pay ranges are posted. The pay rate will vary based on various factors including but not limited to experience, skills, knowledge of position and comparison to others who are already in this role within the company.

COVID-19 Considerations

All of our employees, visitors, patients, vendors, etc. are masked throughout the day. All employees are to have received COVID-19 vaccine including booster, if applicable, and flu vaccine.

PACT MSO is a Management Service Organization that supports numerous physician groups. We offer health benefits, paid time off, and a friendly working environment. We are a medium sized company with a family atmosphere.

PACT MSO Central Business Office is seeking a Medical Coder. The position is located in Branford and the hours are Monday through Friday from 8:30am to 5:00pm.

Summary

The coder reviews, analyzes, and codes diagnostic and procedural information in the medical record that determines Medicare, Medicaid, and private insurance payments. The primary function of this position is to assign ICD10, CPT, and HCPCS coding based on provider documentation to ensure accurate reimbursement and tracking of services provided. The coding function ensures compliance with established coding guidelines, third party reimbursement policies, and regulations for a busy Multi-Specialty Practice.

Essential Functions

• Thorough understanding of the contents of medical records in order to identify information to support coding.
• Extracts pertinent information from patient medical records. Assigns ICD10CM, CPT/HCPCS codes and modifiers.
• Reviews and analyzes medical records to identify relevant diagnoses and procedures for distinct patient encounters within a Multispecialty Practice.
• Translates/extracts diagnostic and procedural phrases into coded form - the accurate translation process requires understanding and interpretation of medical reports, industry standard and payer specific coding conventions and guidelines.
• Reviews denials for coding lapses and suggests coding changes for corrective and preventive action.
• Notifies a Manager/Supervisor or designated individual when reports are incomplete and code assignments are not straightforward or documentation is inadequate and updates relevant logs.
• Keeps updates of coding guidelines, federal reimbursement requirements, and changes to third party reimbursement policies.
• Abides by Standards of ethical coding as set forth by American Academy of Professional Coders (AAPC} and American Health Information Management Association (AHIMA) and adheres to official coding guidelines.
• Performs other related duties as required.

Skills and Knowledge

• Thorough understanding of the contents of multi-specialty medical records in order to identify information to support coding.
• Thorough knowledge and experience in EHR, preferably EPIC.
• Basic knowledge of anatomy and physiology of human body and diseases in order to understand etiology, pathology, symptoms, signs, diagnostic studies, treatment modalities, and procedures to be coded.
• Basic understanding of claims form and reimbursement process
• Understanding of local medical policies of carriers and Medicare.

Education and Experience

• Education: High School degree or equivalent required, Associates preferred.
• Must possess and maintain coding certification from the American Academy of Professional Coders (CPC).
• Experience: Minimum 3 years’ experience as a coder in a multi-specialty physician group.
• Experience: Strong coding and reimbursement background.

#CPC #CertifiedProfessionalCoder #AAPC #AmericanAcademyofProfessionalCoders