Certified Professional Coder

Description Position Summary

The Certified Professional Coder is responsible for accurate coding of office, hospital and medical procedures.

• Reviewing codes submitted by physicians to assure accurate assignment of ICD-10-CM codes for inpatient/outpatient charges
• Maintains compliance with Federal, State and payer regulations
• Ability to review and analyze encounters, reports and other medical records to determine the appropriate diagnosis and procedure codes to describe the level of service and surgical professional services provided
• Abstracts the appropriate evaluation and management level of service from the medical record per CPT instructions
• Understands and adheres to CPT and ICD-10-CM instructions, the appropriate use of modifiers, and multiple or add-on procedures
• Assures healthcare providers compliance with official coding guidelines including but not limited to Medicare and AHCCCS requirements for coding and billing
• Identifies and educates healthcare providers on additional revenue opportunities.
• Other tasks as assigned

Desired

Skills and Experience:

• Current CPC certification
• 2+ years of medical coding
• In-depth knowledge of billing accounting software
• Working knowledge of cardiology preferred, but not necessary
• Professional attitude
• Ability to solve problems, prioritize and multi-task in a deadline driven environment
• Ability to make independent decisions regarding matters of significance
• Work with little to no supervision
• Ability to work outside core business hours as needed
• Able to work in a team environment and interact positively with team members
• Goal oriented, with excellent time management and organizational skills
• Excellent interpersonal skills, with ability to interact effectively and work efficiently with people at all levels in an organization
• Excellent verbal & written communication skills
• Keenly attentive to detail
• Ability to keep sensitive information confidential
• High level of proficiency with PC based software programs

High school diploma or equivalent

Certified Professional Coder (CPC) required.