Certified Professional Coder

JOB RESPONSIBILITIES:

1. Review, abstract, and code clinical data such as diseases, operations, procedures, and therapies into computer system for billing and data collection within the established time frame

2. Assigns appropriate ICD-9, ICD-10, CPT, HCPCS and modifiers to accurately report and support the need for each physician service

3. Identifies physician services provided, but not adequately documented in the medical record. Advises coding auditor/educator or Manager of deficiencies

4. Codes and abstracts patient care records to provide information for insurance/billing and to establish accurate working indices

5. Perform void/re-enter of charges and changes to insurance as indicated by the medical record and insurance nuances

6. Comply with the Sixteenth Street TB Control Plan including PPD testing

7. Perform other duties as assigned

REMOTE WORK:

1. Full-time

2. Required to be onsite for meetings and job responsibilities, as assigned

3. Equipment that must be purchased by employee: 2nd monitor

KNOWLEDGE BASE REQUIREMENTS:

1. Maintain insurance, authorization and incident-to knowledge for physician visits and procedures

2. Maintain currency in field through continuing education, literature, and seminars. Implement this knowledge into Coding/Billing compliance

3. Keeps abreast of coding guidelines and reimbursement requirements. Brings identified concerns to supervisor or department manager for resolution

4. Ability to work with and maintain confidentiality and integrity of patient data

5. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association or American Academy of Professional Coders and adheres to official coding guidelines

QUALIFICATIONS:

1. Certification as a CPC or CPC-A by the American Academy of Professional Coders or the American Health Information Management Association

2. Completion of ICD-10 course and successful completion of proficiency exam

3. Minimum of 1 to 2 years experience coding utilizing the ICD-9, CPT, HCPCS and modifier coding systems

4. Knowledge of electronic medical records systems

5. Demonstrate independent initiative, ability to budget time and organizational skills

6. Demonstrate attention to detail and ability to prioritize and meet deadlines.

7. Actively always demonstrates teamwork

8. Excellent oral and written communication skills

9. Knowledge and/or experience in a health care setting a plus

10. Knowledge of third-party payer reimbursement policies and procedures a plus

11. Computer skills including but not limited to Microsoft Excel and Microsoft Word