Physician Coder

Physician Coder, developed by AAPC (American Academy of Professional Coders), is a coding software designed to assist healthcare professionals, including physicians, in accurately assigning medical codes to diagnoses, procedures, and services. According to the vendor, this tool aims to streamline the coding process, ensure compliance with coding guidelines, and optimize reimbursement. Physician Coder is said to be suitable for healthcare organizations of all sizes, ranging from small medical practices to large hospitals and healthcare systems. It caters to a wide range of professions and industries, including physicians, medical coders, medical billers, healthcare administrators, and healthcare consultants.

Key Features

Codeset Updates: According to the vendor, Physician Coder provides regular updates to its codeset, aiming to ensure that healthcare professionals have access to the latest and most accurate medical codes for diagnoses, procedures, and services.

Search Functionality: Physician Coder is said to offer a robust search functionality that allows users to quickly find specific codes, guidelines, and coding information.

Code Validation: The vendor claims that this feature helps healthcare professionals validate the accuracy and appropriateness of the assigned codes, aiming to ensure compliance with coding guidelines and increase the likelihood of proper reimbursement.

Coding Guidelines: Physician Coder reportedly includes comprehensive coding guidelines that assist healthcare professionals in correctly assigning codes based on specific scenarios and conditions.

Code Bundling and Edits: The vendor states that Physician Coder incorporates code bundling and edit functionalities to identify potential coding conflicts or inconsistencies, aiming to help healthcare professionals avoid coding errors that could lead to claim denials or compliance issues.

Code Crosswalks: According to the vendor, Physician Coder offers code crosswalks that allow users to map codes from one code system to another, aiming to ensure consistency and accuracy when transitioning between different code systems.

Code Modifier Assistance: The vendor claims that Physician Coder provides assistance and guidance on the appropriate use of modifiers in coding, aiming to help healthcare professionals ensure correct modifier assignment for accurate coding and reimbursement.

Code Documentation Requirements: According to the vendor, Physician Coder includes detailed documentation requirements for various codes and coding scenarios, aiming to improve coding accuracy and compliance with payer guidelines.

Code History and Versioning: The vendor states that Physician Coder maintains a history of code changes and versions, allowing users to track code revisions over time and ensure accurate coding for past services.

Code Favorites and Customization: According to the vendor, Physician Coder allows users to create a list of favorite codes for quick access and offers customization options to personalize the software interface and settings according to user preferences.