Certified Coder

Summary

This incumbent is responsible for reviewing and analyzing physicians' documentation, CPT, and ICD-10 diagnosis codes. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines.

Job Duties & Essential Functions

• Provide a variety of complex and technical assignments relating to medical coding.
• Analyze, code, and abstract information for the purpose of assigning and entering appropriate and consistent diagnoses and procedure codes for reimbursement.
• Resolve discrepancies on coding related issues.
• Review and correct rejected claims from various third party carriers.
• CPMP account notification/accounts receivable report (IDX), ICD-10 coding.
• Account maintenance - IDX pending report.
• Track all IDX record requests.
• Maintain PK files for validity, coding/billing errors.
• Monitor TES Open Encounter file.
• CLIA renewals for all sites.
• Perform all other duties as assigned by management.

Required Qualifications

• Certified Professional Coder (CPC) Certification; Certified Coding Specialist (CCS) or Certified Coding Specialist - Physician Based (CCS-P) certification.
• Associate’s Degree.
• In lieu of an Associate’s degree, 5 years of experience is required.
• Working knowledge of coding requirements.
• Must have excellent expressive and written communication skills.
• Must be highly organized.
• Must be proficient in Microsoft Office Word and Excel.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to communicate with patients, staff and medical providers. The employee must be able to exchange accurate information in these situations. This position is largely sedentary and requires the employee to remain stationary for a majority of the day. Any additional physical demands will be outlined and provided by management.