Certified Professional Coder

Job Type

Full-time

• The certified coder prepares and submits clean claims to insurance companies electronically and by paper, and provides appropriate coding for each patient's medical history, diagnosis, tests and treatment plan.

• Primarily codes from final office visit, surgical/procedural operative reports signed by providers
• Reviews medical records and accurately code primary and secondary diagnoses using CPT, ICD-9 and ICD-10 conventions; sequence the diagnoses and procedures using coding guidelines
• Verifies accuracy and submits claims to insurance using Electronic Medical Records systems and paper claims
• Enters patient copayment information into the EMR
• Reconciles charges against the schedule list to ensure no charges are missed
• Investigates rejected claims to see why denials were issued as necessary
• Re-bills rejected claims in timely manner maintains strict confidentiality and high degree of accuracy
• Consults classification manuals and relies on knowledge of disease processes
• Correlates information from supporting clinical documentation when appropriate
• Communicates with clinical, ancillary services and medical personnel for needed documentation
• Provides feedback to providers as it pertains to proper coding and clinical documentation
• Keeps staff members informed of regulatory changes and updates
• Identifies and participates in educational opportunities for self
• Serves and protects the practice by adhering to professional standards, policies and procedures, federal, state, and local requirements
• Enhances practice reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments
• Operates standard office equipment (e.g. copier, personal computer, fax, etc.).
• Has regular and predictable attendance
• Adheres to Advanced Pain Care's Policies and procedures
• Performs other duties as assigned

Requires a high school diploma or GED; current CPC certification required

Prior medical coding experience required; must be familiar with correct billing techniques, CPT, ICD-9, ICD-10 coding, electronic medical records and strong knowledge of medical terminology.

• Extensive knowledge of coding in-office and surgical procedures and applicable modifiers
• Advanced knowledge of ICD-9-CM & CPT-4 coding conventions
• Knowledge of Anatomy and Physiology
• Knowledge of Medical Terminology
• Knowledge of EMR systems and Microsoft software applications
• Effective written and verbal communication skills
• Data entry skills and ability to type 50+ wpm
• Proficient in using 10 key and doing basic arithmetic
• Ability to maintain patient confidentially and comply with HIPAA guidelines
• Time management skills and ability to work efficiently to complete tasks
• Excellence in customer service

Medical Office environment

• Must be able to work as scheduled - typically from 8:00 - 5:00 M-F
• Must be able to sit and/or stand for prolonged periods of time
• Must be able to bend, stoop and stretch
• Must be able to lift and move boxes and other items weighing up to 30 pounds.
• Requires eye-hand coordination and manual dexterity sufficient to operate office equipment

$40/ hour with experience