Certified Professional Coder

Responsibilities

• Review patient medical records and abstract relevant clinical information.
• Assign appropriate medical codes using ICD-10, CPT, and HCPCS code sets.
• Ensure accurate documentation and coding, facilitate claims processing, and comply with regulatory requirements.
• Translate patient encounters into standardized medical codes (ICD-10, CPT, and HCPCS).
• Analyze patient records for completeness, accuracy, and compliance with coding guidelines.
• Research and analyze data needs for accurate and timely reimbursement.
• Conduct chart audits, identify coding discrepancies, and implement corrective actions.
• Communicate effectively with healthcare providers to clarify coding issues and ensure accurate documentation.
• Stay updated on changes in coding guidelines, regulations, and technology.

Qualifications

• Education: Certified Professional Coder (CPC) or Certified Coding Specialist Physician Based (CCS-P) or Certified Radiology Coder (RCC).
• Experience: Prior experience doing physician/provider professional fee billing is preferred.

Skills and Abilities

• Coding Knowledge: Strong understanding of coding systems (ICD-10, CPT, and HCPCS), coding guidelines, and relevant regulations.
• Attention to Detail: Ability to meticulously review documentation and accurately assign codes.
• Communication Skills: Effectively communicate with healthcare providers, billing staff, and other stakeholders.
• Problem Solving: Ability to identify and resolve coding discrepancies and errors.
• Organizational Skills: Maintain accurate records, manage workload effectively, and prioritize tasks.
• Computer Skills: Proficiency in using coding software and electronic health records (EHR) systems.

Benefits

• Physical presence onsite is essential with possibility of hybrid work schedule.
• Hearing and vision must be normal or corrected to within normal range.
• Able to perform the duties with or without reasonable accommodation.
• Valid driver’s license and automobile liability insurance.
• Very good interpersonal communication and customer service skills required.
• Physical Medium work - Exerting 20 - 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to more objects.
• Good manual and finger dexterity.
• Ability to tolerate prolonged periods of sitting.
• Some light driving required.
• Contact with Others: Deal with external customers/clients, sometimes dealing with unpleasant people, occasionally coordinating letters/memos, working with work groups or as a Team constantly/consistently.