Certified Coder (CPC)

Southeast Medical Group; Alpharetta (GA); On-site; USD 55,000 - 70,000; Full time

Job summary

Southeast Medical Group is seeking a Certified Coder to review medical records for accurate billing in a fast-paced environment in Georgia. You will participate in audits, ensure codes meet Official Coding Guidelines and Risk Adjustment Guidelines, and support QA processes.

Required CPC certification (AAPC), strong communication, and at least one year of medical billing experience. Prior primary care experience is a plus, with HIPAA compliance a must.

Qualifications

• 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.
• 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
• Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation.

Responsibilities

• Review medical records to assure proper billing.
• Participate in audits to evaluate if all selected codes are accurate.
• Develop methodologies to improve coding issues identified.
• Ensure codes meet QA standards following Official Coding Guidelines and Risk Adjustment Guidelines.

Skills

Communication skills

Interpersonal skills

Detail oriented

Time management

HIPAA knowledge

Medical terminology

ICD-10-CM knowledge

Education

High school diploma / GED

Tools

MS Windows

MS Office

Internet

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).

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

• High school diploma / GED
• Have a working insurance collection knowledge including verification of insurance and insurance follow up activities to get claims paid.

Physical & Mental Requirements: (check all that apply)

• Ability to lift up to 50 pounds
• Ability to push or pull heavy objects using up to 50 pounds of force
• Ability to sit for extended periods of time
• Ability to stand for extended periods of time
• Ability to use fine motor skills to operate office equipment and/or machinery
• Ability to receive and comprehend instructions verbally and/or in writing
• Ability to use logical reasoning for simple and complex problem solving
• Ability to travel to multiple locations to support business needs as required