Certified Professional Coder

Certified Medical CoderThe 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.Duties and responsibilitiesPrimarily codes from final office visit, surgical/procedural operative reports signed by providersReviews medical records and accurately code primary and secondary diagnoses using CPT, ICD-9 and ICD-10 conventions; sequence the diagnoses and procedures using coding guidelinesVerifies accuracy and submits claims to insurance using Electronic Medical Records systems and paper claimsEnters patient copayment information into the EMRReconciles charges against the schedule list to ensure no charges are missedInvestigates rejected claims to see why denials were issued as necessaryRe-bills rejected claims in timely mannerMaintains strict confidentiality and high degree of accuracyConsults classification manuals and relies on knowledge of disease processesCorrelates information from supporting clinical documentation when appropriateCommunicates with clinical, ancillary services and medical personnel for needed documentationProvides feedback to providers as it pertains to proper coding and clinical documentationKeeps staff members informed of regulatory changes and updatesIdentifies and participates in educational opportunities for selfServes and protects the practice by adhering to professional standards, policies and procedures, federal, state, and local requirementsEnhances practice reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishmentsOperates standard office equipment (e.g. copier, personal computer, fax, etc.).Has regular and predictable attendanceAdheres to Advanced Pain Care's Policies and proceduresPerforms other duties as assignedRequirementsQualificationsEducation: Requires a high school diploma or GED; current CPC certification requiredExperience: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.Knowledge, Skills and Abilities:Extensive knowledge of coding in-office and surgical procedures and applicable modifiersAdvanced knowledge of ICD-9-CM & CPT-4 coding conventionsKnowledge of Anatomy and PhysiologyKnowledge of Medical TerminologyKnowledge of EMR systems and Microsoft software applicationsEffective written and verbal communication skillsData entry skills and ability to type 50+ wpmProficient in using 10 key and doing basic arithmeticAbility to maintain patient confidentially and comply with HIPAA guidelinesTime management skills and ability to work efficiently to complete tasksExcellence in customer serviceWorking conditionsEnvironmental Conditions: Medical Office environmentPhysical Conditions:Must be able to work as scheduled – typically from 8:00 – 5:00 M-FMust be able to sit and/or stand for prolonged periods of timeMust be able to bend, stoop and stretchMust 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