Certified Coder (CPC)

southeast medical group; United States; On-site; USD 45,000 - 65,000; Full time

Job summary

Southeast Medical Group is seeking a Certified Coder to review medical records and ensure accurate billing, while participating in audits and developing methods to improve coding quality in line with Official Coding Guidelines and Risk Adjustment Guidelines.

The ideal candidate holds a CPC certification, possesses excellent communication and interpersonal skills, and is highly organized with attention to detail. At least one year in medical billing is required; primary care experience is a plus.

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. 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.

Responsibilities

• Review medical records to ensure accurate coding for billing.
• Participate in audits to evaluate code accuracy.
• Develop methodologies to improve coding issues identified.
• Code using ICD-10-CM from code books.
• Ensure QA standards are met per Official Coding Guidelines and Risk Adjustment Guidelines.
• Maintain HIPAA privacy and security in all chart documentation.

Skills

Excellent written and verbal comms

Interpersonal skills

Detail oriented

Organizational skills

Time management

Analytical skills

Education

CPC certification (AAPC)

High school diploma / GED

Tools

MS Windows

MS Office

Internet

ICD-10-CM knowledge

Job 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