Certified Professional Coder

Overview

Under general supervision, a Certified Professional Coder is responsible for correctly coding professional healthcare claims in order to obtain reimbursement from private insurance companies and government healthcare programs. This is NOT a remote position.

Responsibilities

May include any and/or all of the following:

1. Accurately enter patient information into LifeLinc's billing software.
2. Verify patient insurance is valid and active.
3. Organize files and collect data to be entered.
4. Analyze and verify data for errors.
5. Report problems with data received or missing data.
6. Follow-up on data that has not been received.
7. Keep sensitive patient and company information confidential.
8. Appropriately compose and type routine correspondence, memos, letters, etc.
9. Performs other duties as assigned.

Qualifications

EDUCATION and/or EXPERIENCE

• High school diploma or general education degree (GED) is required
• Minimum of 1-year related experience, training, and/or equivalent combination of education and experience is required
• Excellent computer skills are required
• Excellent filing skills are required
• 35 wpm typing proficiency and 10-key by touch is required
• Familiarity with CPT-4 and ICD-10 coding is preferred
• Experience verifying insurance

KNOWLEDGE, SKILLS, ABILITIES AND PERSONAL CHARACTERISTICS

• Verbal and written communication skills
• Ability to respond to questions in a tactful and professional manner
• Ability to manage time wisely and maintain organization
• Ability to interpret accounts and records
• Ability to document workflow
• Understand anesthesia coding
• Interpersonal/human relations skills
• Customer service skills
• Ability to maintain confidentiality and accuracy

COMMUNICATION

• Provide information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person
• Works with coworkers to obtain required information on a timely basis and to solve outstanding issues, as appropriate
• Promotes and contributes positively to the teamwork of the department by assisting coworkers, contributing ideas and problem-solving with co-workers
• Communicate with people outside the organization, representing LifeLinc, the public, government, and other external stakeholders
• Attend meetings as needed

LANGUAGE SKILLS

• Must be able to read and write English
• Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals
• Ability to write routine reports and correspondence for the needs of the audience
• Ability to effectively present information in one-on-one and small group situations to supervisors, patients, patient's family and other employees of the organization
• Able to work in a team-oriented environment

MATHEMATICAL SKILLS

• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals
• Ability to compute rate, ratio, and percent

REASONING ABILITY

• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form
• Ability to recognize when something is wrong or is likely to go wrong and react accordingly to the situation

COMPUTER SKILLS

• To perform this job successfully, an individual should have excellent computer literacy skills
• Must be skilled in MS Word and Excel
• Proficient 10-key by touch
• Typing proficiency of 40 wpm

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit; use hands to type and use a computer mouse; and talk or hear. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

HIPAA

• Ensures and adheres to strict confidentiality when handling patient information, according to the HIPAA Privacy Act and hospital policy and procedure regarding confidentiality.
• Complies with all information security practices.
• Has knowledge of and adheres to all compliance regulations, policies and procedures.
• Takes annual HIPAA compliance exam.