Certified Medical Coder

Essential Functions

• Review E/M, diagnostic and procedural documentation and assign correct CPT and diagnosis codes.
• Work with RCM team to identify patterns, trends and variations in coding and documentation practices.
• Prepare documentation summary/findings to support development of corrective action plans.
• Aid management team in developing effective education programs for staff.
• Provide on-going guidance to RCM team on the correct use of modifiers.
• Assist RCM team with documentation required to appeal claims and overturn denials.
• Assess claims to ensure adherence with payer guidelines.
• Research and collaborate with clinic staff to capture all billing activities (e-bill management).
• This may require access to additional information systems (EMR or Data Warehouse).
• Respond to RCM team and vendors promptly to address information needed for claim resubmission and denial resolution.
• Aid in the development of protocols and workflows to ensure correct billing and maximum reimbursement.
• Maintain productivity and accuracy standards as determined by each division.
• Deliver exemplary customer service in order to provide a positive experience across the organization.

Minimum/Preferred Qualifications

• Current CPC, CCS, RHIA or RHIT certification required, Associates degree or equivalent experience preferred.
• 1-3 years of progressive coding experience preferred.
• Working knowledge of anatomy, physiology and medical terminology required.
• Experience working in EMR system preferred.
• Ability to multi-task required, strong organizational skills.
• Strong customer service and communication skills with ability to utilize computer programs.

Pay

Pay Range: $23.00 - $25.30
Individual annual salaries/hourly rates will be set within job's compensation range, and will be determined by considering factors including, but not limited to market data, education, experience, qualifications, and expertise of the individual and internal equity considerations.