Certified Coder - Practice

About the Role

Reviews medical records, codes patient charges, and processes them in a timely manner. Assists various facility staff and physicians. Must be an effective communicator who can express themselves professionally both verbally and in writing, and a proactive professional who identifies and resolves collection trends promptly.

Responsibilities

• Analyzes outpatient charts accurately, records all deficiencies, and assigns appropriate responsibility for completion.
• Develops and performs regular quality control reviews for accuracy.
• Tracks problems related to record completion and reports them to the Supervisor.
• Ensures records are available when requested and controls record completion for medical staff.
• Ensures coding is completed on all patients within two working days of discharge, consistent with ICD-10-CM and CPT-4 coding procedures.
• Completes data entry, claim, and report generation.
• Demonstrates functional knowledge of all departmental operations and aligns them with the company’s overall objectives.
• Communicates with the Billing & Coding Supervisor and peers to improve departmental operations and pursues professional enhancement opportunities.
• Maintains a professional work atmosphere by interacting positively with customers, patients, families, payors, physicians, co-workers, and supervisors.
• Performs other related duties as required, including tasks to meet emergency situations.
• Ensures CPC certification remains current and stays abreast of changes in coding guidelines.

Requirements

• Certified Professional Coding (CPC) Certificate.
• Associate’s degree preferred or 5 years of medical coding experience.
• Functional knowledge of medical terminology, anatomy, and physiology.
• Prior experience coding with ICD-10-CM.
• Knowledge of clinic policies and procedures, pain management coding, and spine procedure coding.
• Knowledge of computer systems, programs, and spreadsheet applications.
• Knowledge of collection practices and governmental, legal, and regulatory provisions related to collection activity.

Skills

• Gathering and reporting claim information.
• Solving utilization problems.
• Written and verbal communication, as well as customer relations.
• Working with Windows-based software systems.
• Ability to code medical records with ICD-10-CM.
• Well-developed organizational and communication skills (both written and verbal).
• Highly professional, confident, conscientious, and cooperative attitude.
• Ability to recognize and apply priorities, with strong attention to detail.
• Excellent communication skills with internal and external entities.

Physical and Mental Demands

Requires sitting and standing associated with a normal office environment.

Environmental/Working Conditions

Normal, busy office environment with frequent telephone work and occasional evening or weekend work.