Join our team

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.
• 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.
• Educational requirements: BS in related field of study 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.