Certified Coder

Job Description

Job Description

Overview

As a Certified Coder, you'll be responsible for the assignment of ICD-10 diagnoses and CPT procedure codes for physician professional services and ASC charges. 

Responsibilities

• Abstracts medical record documents to determine appropriate CPT procedure(s) and ICD-10 diagnosis
• Reviews physician notes and charts for accuracy
• Ensures coded services, provider charges and medical record documentation meet appropriate guidelines or standards
• Carefully reviews and corrects any charges posted by clinic staff while ensuring all services are accounted for and billed
• Identifies and optimizes revenue opportunities
• Works closely with departments to optimize reimbursement, ensure charge capture, reduce late charges and provide feedback to providers
• Follows the established industry standard and CMS coding guidelines to ensure proper billing of charges - includes CPT-4 and ICD codes as well as modifiers
• Posts, produces and sends all charges for invoice vendors
• Adheres closely to the department’s charge reconciliation process
• Posts any related payments and/or adjustments for surgery charges posted
• Makes changes to demographic information as necessary in order to produce a clean patient statement
• Performs all other assigned duties

Qualifications

• High School Diploma or GED required
• Certified Processional Coder (CPC) or Certified Coding Specialist (CCS) required
• 5+ years medical billing or coding experience
• Experience in Ophthalmology is a plus
• Experience working in NextGen in a coding environment 
• Active knowledge of CMS guidelines, contracted insurance guidelines and coding policies
• Demonstrated computer literacy, math skills, and excellent verbal and written communication skills
• Detail oriented, reliable and able to multi-task in a fast-paced, high-volume work environment

• Ability to maintain a high level of confidentiality and professionalism