Job Purpose:
The Certified Professional Coder assists in generating revenue by assigning and monitoring the coding and reimbursement activities for professional and technical services provided within a group of specialty areas.
Essential Functions:
· Direct assigning of ICD-9 and ICD-10 codes by analyzing patient medical records
· Ensure documentation by providers conforms to legal and procedural requirements
· Consults with follow-up team prior to assigning claims to the appeals department for disputed / denied claims.
· Provides feedback/training for physicians and staff in with any coding insufficiencies
· Reviews diagnosis codes assigned by staff prior to submission when assigned
· Assisting with research of denied claims
· Applies modifiers, checks CCI edits and assists with charge entry
· Aware of governmental regulations, protocols and third party requirements in reference to coding principles
· Maintain a working knowledge of EMR, the registration process and charge entry
· Ability to work effectively with providers and co-workers
· Regular attendance and punctuality.
· Contributes to team effort by accomplishing related results as needed.
· Ensures that all processing and reporting deadlines are consistently achieved.
· Perform any other functions as required by management.
Qualifications and Education Requirements
· Certification in CPC, CHONC or specialty coding with one to three years experience directly related to coding and reimbursement for physician services
· Certified through The American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA)
· Educational requirements: BS preferred
· Attention to detail and the ability to organize information and tasks are essential.
· Knowledge of current and developing issues and trend in medical coding procedures and requirements.
· Working knowledge of ICD-9 and ICD-10 diagnosis codes, HCPCS, and CPT coding assignment.
Preferred Skills
· Knowledge of medical terminology
Required Competencies
Ability to work in a team environment and enjoy multi-job functions. Strong Business and Organizational Competence. Exceptional Customer Service Skills. Strong functional Competence. Interpersonal Skill Competency. Stress Tolerance. Initiative. Adaptability. Accountability. Integrity. Self-Confidence. Time Management Skills with an emphasis on multi-tasking.
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
Work setting:
Education:
- High school or equivalent (Preferred)
Experience:
- ICD-9 and ICD-10 diagnosis codes: 4 years (Required)
- CCM coding: 4 years (Required)
License/Certification:
- AAPC or AHIMA certification. (Required)
Work Location: Remote