Certified Coder (CPC)

Job Description

Job Description

Description :

Certified Coder reviews medical records to assure proper billing. Participates in audits to evaluate if all selected codes are accurate and develops methodologies to improve coding issues identified. Codes must meet QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines).

Requirements :

Essential Job Functions :

• CPC certification required through AAPC
• Excellent written and verbal communication skills
• Good interpersonal skills and team oriented
• Well organized and detail oriented
• Positive attitude, enthusiastic and energetic.
• At least one year of previous medical billing experience
• Previous primary care experience a plus
• Ability to perform well in a fast-paced team environment and to manage time effectively.
• In-depth knowledge of medical terminology, anatomy, physiology, and disease process. Comprehensive understanding of ICD-10-CM classification systems.
• Ability to read and analyze patient records to determine a set of established and correct medical codes, for accurate medical billing.
• Ability to code using an ICD-10-CM code book (without using an encoder);
• Strong clinical knowledge related to chronic illness diagnosis, treatment and management is a plus.
• Reliability and a commitment to meeting tight deadlines
• Computer proficiency (including MS Windows, MS Office, and the Internet);
• Strong organization skills; interpersonal and customer service skills; written and oral communication skills; and analytical skills;
• Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation.

Education / Training / Experience :

Physical & Mental Requirements : (check all that apply)