Certified Coder (CPC)

Description

Certified Coder reviews medical records to assure proper billing. Participates in audits to evaluate if all selected codes are accurate and develops methodologies to improve coding issues identified. Codes must meet QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines).

Requirements

Essential Job Functions:

• •CPC certification required through AAPC
• •Excellent written and verbal communication skills
• •Good interpersonal skills and team oriented
• •Well organized and detail oriented
• •Positive attitude, enthusiastic and energetic.
• •At least one year of previous medical billing experience
• •Previous primary care experience a plus
• •Ability to perform well in a fast-paced team environment and to manage time effectively.
• •In-depth knowledge of medical terminology, anatomy, physiology, and disease process. Comprehensive understanding of ICD-10-CM classification systems.
• •Ability to read and analyze patient records to determine a set of established and correct medical codes, for accurate medical billing.
• •Ability to code using an ICD-10-CM code book (without using an encoder);
• •Strong clinical knowledge related to chronic illness diagnosis, treatment and management is a plus.
• •Reliability and a commitment to meeting tight deadlines
• •Computer proficiency (including MS Windows, MS Office, and the Internet);
• •Strong organization skills; interpersonal and customer service skills; written and oral communication skills; and analytical skills;
• •Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation.

Education/Training/Experience:

• •High school diploma / GED
• •Have a working insurance collection knowledge including verification of insurance and insurance follow up activities to get claims paid.

Physical & Mental Requirements: (check all that apply)

• •Ability to lift up to 50 pounds
• •Ability to push or pull heavy objects using up to 50 pounds of force
• •Ability to sit for extended periods of time
• •Ability to stand for extended periods of time
• •Ability to use fine motor skills to operate office equipment and/or machinery
• •Ability to receive and comprehend instructions verbally and/or in writing
• •Ability to use logical reasoning for simple and complex problem solving
• •Ability to travel to multiple locations to support business needs as required