Certified Coder

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.
• Associate’s Degree.
• In lieu of an Associate’s degree, 5 years of experience is required.
• Working knowledge of coding requirements.
• Excellent expressive and written communication skills.
• Highly organized.
• 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.

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.

Pay

$27.91 - $34.87

Schedule

Full Time Days/Hours: Monday - Friday; 8:30 AM - 5 PM; At the Manager's discretion, this role may be eligible for remote work (after 90 days).