Certified Professional Coder Consultant

About Us

Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We help clients maximize their reimbursement and educate them on the ever-changing rules and guidelines of Medicare, other insurance carriers, and coding standards (CPT, HCPCS, ICD-10). Our team includes highly trained staff with experience in all areas of physician billing, including several Certified Professional Coders who assist in proper diagnostic and procedure coding. Billing specialists receive ongoing, specialty-specific training to stay current with insurance carrier trends and billing policy changes.

We invest in our people through career development, advocacy experiences, career ladder choices, leadership advancement support, and work-life integration. With over 200 professionals across our family of companies, you’ll join a diverse, passionate, and forward-thinking team dedicated to positively impacting our clients and communities.

About the Role

The Certified Professional Coder Consultant will review medical records, verify coding accuracy, and provide a summary of findings. You will assist with presenting educational information to clients and staff, serve as a coding resource for billing staff, and maintain excellent communication and customer service to ensure an efficient and productive office.

Responsibilities

• Abstract clinical information from medical records and assign appropriate CPT and ICD-10 codes using industry-standard guidelines for various specialties.
• Maintain up-to-date knowledge of coding and documentation requirements.
• Share and present CPT and ICD-10 changes with staff.
• Assist staff with coding questions and perform some medical billing duties.
• Conduct coding audits at client offices, including chart audits, billing reviews, and workflow analysis.
• Provide on-site billing education to client providers and staff on documentation and coding guidelines to ensure compliance with state and federal regulations.
• Deliver measurable, actionable solutions to improve documentation and coding accuracy.
• Generate leads for consulting services and perform internal audits for the compliance team.
• Travel within the state to client locations and testify in litigation related to audits.
• Assist clients courteously and expediently while meeting or exceeding annual performance goals.
• Increase proficiency in company technology, paperless systems, tools, and processes.

Requirements

• Associate’s Degree in Business Administration or equivalent; or a combination of education and work experience that enables performance of all position aspects.
• AAPC Certified Professional Coder (CPC).
• Ability to code conditions and procedures using ICD-10-CM and CPT.
• Knowledge of medical terminology and anatomy.
• Understanding of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
• Proficiency with computer systems, software, and 10-key calculator.
• Effective communication skills for resolving issues with insurance payers and interacting with patients regarding claims.
• Customer service skills for diverse age groups and backgrounds.
• Ability to work in a team environment.
• Problem-solving skills to research and resolve discrepancies, denials, appeals, and collections.
• Knowledge of accounting and bookkeeping procedures.
• Strong communication and presentation skills.
• Proven relationship-building skills with clinical and non-clinical personnel.

Preferred Qualifications

• Certified Professional Medical Auditor (CPMA) certification.
• Actively pursue learning and development opportunities.
• Ability to accept and adjust to changing priorities and circumstances.
• Leadership skills: reports to a direct supervisor, takes charge, is action-oriented, and persists until tasks are completed.
• Understands how the role contributes to organizational success and is willing to accept responsibility and accountability.

Technology Experience

• Microsoft Office.
• Medical billing workflow software.
• Stay current on new technology relevant to the role.

Benefits

• Competitive salaries.
• Generous paid time off (PDO) and paid holidays.
• Excellent medical, dental, and vision plans.
• Bonuses and referral programs.
• Life insurance.
• 401(k) plan.
• Community service opportunities.
• Dress-for-your-day attire.
• Continuous feedback and career development.
• Team retreats, office and virtual parties, and company sports teams.