Certified Coder

Responsibilities

• Gather charge information and code or over‑code physicians’ coding.
• Enter charges into the AthenaNet billing system.
• Complete the billing process, including entering insurance information, keying claims, and other assigned billing/coding duties.
• Maintain patient checklists to account for all charges through AthenaNet and manage missing bill slip work lists.
• Research clinical records to determine level of service, procedures, and diagnoses.
• Review and interpret completed clinical documentation to assign CPT, HCPCS, and ICD‑10 codes and create claims in AthenaNet.
• Communicate with physicians regarding procedure questions to ensure complete documentation.
• Ensure compliance with third‑party and regulatory guidelines, including “Incident to” when applicable.
• Verify accuracy of patient demographics and insurance information, including proper ordering of primary and secondary coverage.
• Participate in coding teleconferences and continuing education units (CEUs) to maintain certification.
• Maintain strict confidentiality and adhere to HIPAA regulations.
• Perform related work as required or assigned.

Supervision

• Reports to Coding Supervisor.
• No supervision exercised.

Physical Demands and Working Conditions

• Requires prolonged sitting in an office environment.
• Occasional bending and stretching.
• Use of office equipment such as PC, copier, fax, calculator, mouse, and keyboard.
• Manual dexterity required for computer input devices.
• Normal office conditions.

Requirements

• Knowledge, Skills, and Abilities: Billing practices, clinic policies, CPT/ICD‑10/HCPCS manuals, medical terminology, anatomy, insurance and third‑party payer requirements, document accuracy, teamwork, clear communication.
• Education: High school diploma or GED.
• Experience: Minimum two years of coding experience in a healthcare organization; ability to gather and interpret clinical data and communicate CDI needs.
• Certification/License: CPC‑A or CPC (AAPC) or CCA (AHIMA).

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• Short‑term disability
• Life insurance
• 401(k) retirement plan

Schedule

• Monday – Thursday: 7:45 am – 5:15 pm
• Friday: 8:00 am – 12:00 pm (half‑day)
• No weekend work.
• Remote work available after training.