Certified Coder

Central Ohio Primary Care Physicians, Inc.; Westerville, Northern (OH, KY); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Full-Time/Benefits Eligible

Remote flex schedule

Remote/Westerville, OH

Job summary

Central Ohio Primary Care Physicians, Inc. is seeking a Certified Coder to review CPT, HCPCS and ICD-10 coding for physician visits and procedures, ensuring documentation supports codes and optimal reimbursement.

The role collaborates with Insurance Claims Specialists and Patient Account Representatives to address coding questions. This full-time role includes a remote-flex schedule (40 hrs/week) with hours 6am–8pm, Monday–Friday, and a base in Westerville, OH.

Qualifications

• Preferred: 1 year of experience as a certified coder
• Required: High School diploma or GED
• Required: Certification from AAPC or AHIMA for Medical Coding
• Required: Maintain coding certification

Responsibilities

• Review physician progress notes for necessary documentation prior to locking notes.
• Verify coding accuracy and apply required modifiers before submission.
• Assist in coding queries with Revenue Cycle and support education for physicians.
• Contribute to appeals with Insurance Claims Specialists when needed.

Skills

CPT coding

ICD-10 coding

HCPCS coding

Medical coding

Team collaboration

Education

High School diploma or GED

AAPC/AHIMA medical coding certification

Tools

Microsoft Teams

Microsoft Word

Microsoft Excel

Outlook

Job description

The Certified Coder reviews CPT, HCPCS and ICD-10 coding for Physician visits and procedures. This position assures that proper documentation is present to support the codes submitted for reimbursement. The Certified Coder reviews claims prior to submission to ensure necessary modifiers are included to provide optimal reimbursement. The responsibilities also include assisting the Insurance Claims Specialists with filing appeals when needed and the Patient Account Representatives when patients may have questions related to coding.

• Full-Time/Benefits Eligible
• Remote flex schedule. 40 hrs/week. Hours must be worked between 6am and 8pm, Monday-Friday.
• Remote/Westerville, OH

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

• Review physician progress notes for necessary documentation prior to locking of notes.
• Work claims prior to submission to ensure that the codes are correct and necessary modifiers have been appended.
• Work actions from sites and other teams in Revenue Cycle to assist in coding queries.
• Assist Physicians in learning how to do correct coding.
• Act as resource to Physicians and Revenue Cycle team on coding related questions and issues.
• Participate in education activities such as courses and seminars, both within the company and outside.

QUALIFICATIONS:

Preferred: Minimum 1 year of experience as a certified coder

Education, Licensures & Certifications

Required: High School diploma or GED

Required: Certification from either AAPC or AHIMA for Medical Coding

Required: Maintain coding certification

Knowledge, Skills & Abilities

• Extensive knowledge of CPT, ICD-10 and HCPCS coding
• Ability to demonstrate a high level of confidentiality
• Ability to learn and use new software programs
• Ability to examine documents for accuracy and completeness
• Ability to communicate both verbal and written clearly and precisely
• Working knowledge of Microsoft Teams, Word, Excel and Outlook
• Self-motivated with the ability to work independently or as a team member

Equal Opportunity Employer
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