Certified Professional Coder Consultant

Position Summary

The Certified Professional Coder Consultant will review medical records, verify coding accuracy, and provide a summary of findings. Assist with presentation of educational information to Clients and Staff, through teamwork and communication, to ensure that education is inclusive of information needed to maintain or improve quality of coding and billing. Will work as a coding contact and resource for Billing Staff.

Key Objectives

• Abstracts clinical information from medical records and assigns the appropriate CPT and ICD-10 codes using industry-standard coding guidelines for various specialties
• Maintains up-to-date knowledge of coding and documentation requirements
• Responsible for sharing and presenting CPT, ICD-10 changes that take place
• Absorb and present CPT, ICD-10 changes that take place
• Assist staff with coding questions
• Perform coding audits at client offices
• Chart Audits
• Billing reviews
• Workflow analysis
• On-Site Billing
• Edits documentation and coding guidelines for clients to ensure compliance with state and federal regulations
• Provides measurable, actionable solutions to client providers that will result in improved accuracy for documentation and coding best practices
• Present internal audits to compliance team
• Testify on any audit that goes to litigation
• Ensure clients are assisted in a courteous and expedient manner
• Meet and exceed goals set forth through the annual performance evaluation process
• Growing use and knowledge of applicable company technology, paperless systems, tools and processes

Qualifications

• Associates Degree, Business Administration or equivalent; or the combination of education and work experience that enables the performance of all aspects of the position is required
• AAPC Certified Professional Coder (CPC)
• Knowledge of medical terminology and anatomy
• Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems
• Use of computer systems, software, 10 key calculator
• Effective communication abilities for phone contacts with insurance payers to resolve issues
• Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
• Able to work in a team environment
• Problem-solving skills to research and resolve discrepancies, denials, appeals, 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
• Participate actively in all on-the-job and formal learning and development opportunities to understand role and responsibilities

Benefits & Perks

• Competitive salaries
• Generous PDO/paid holidays
• Excellent medical, dental and vision plans
• Bonuses
• Referral programs
• Life insurance
• 401(k) plan
• Community service opportunities
• Dress for your day attire
• Continuous feedback
• Team retreats and office (and Zoom) parties
• Yeo & Yeo sports teams