Certified Coder PPG CBO

Phoebe Physician Group, Inc.; Albany (GA); On-site; USD 52,000 - 66,000; Full time

Job summary

Phoebe Physician Group, Inc. is seeking a qualified Medical Billing/Coding Specialist to classify medical data from patient records for ICD-10-CM and CPT coding across multiple specialties.

You will review billing details for accuracy and assist in resolving denials while staying current with payer policies. Ideal candidates have 2–3 years of coding experience, knowledge of medical terminology, and a background in health information management.

Qualifications

• High School Diploma or GED is required.
• An associate degree in Health Information Management is preferred.
• 2–3 years of diagnosis and CPT coding in a clinic, business, or revenue cycle environment is preferred.
• Broad knowledge of medical terminology and anatomy is preferred.

Responsibilities

• Review medical records to assign ICD-10-CM, CPT, and HCPCS Level II codes for primary and multi-specialty billing.
• Review claim denials for coding issues and assist insurance collectors with resolution for proper reimbursement.
• Maintain revenue flow continuity by accurate and timely coding and productivity.

Education

High School Diploma or GED

Associate Degree in Health Information Management

Vocational / Technical Degree

2-3 years coding experience in clinic or revenue cycle

Job description

Job Information

Job Number: 32909

Location: Phoebe North Campus, 2000 Palmyra Rd, Albany, Georgia 31701

Department: PPG CBO; Shift: –; Job Type: Full time; Posted Date: 2025-10-30

Job Description Summary

Classify medical data from patient records to assign ICD-10-CM and CPT codes for primary and multi-specialty physician billing. Reviews clinical billing for coding and billing accuracy. Review claim denials for coding-related issues and assist CBO collectors with resolution. Demonstrate knowledge of reimbursement guidelines and changes in payer policy. Provide guidance to clinical staff and providers where necessary. Serves as a resource for clinics on coding issues and questions as needed. May supervise an individual billing team of non-certified billers and collectors. Performs research on coding changes and payer policies on an ongoing basis.

Qualifications

• High School Diploma or GED (Required)
• Vocational / Technical Degree (Preferred)
• 2 year / Associate Degree in Health Information Management (Preferred)
• Work Experience 2 - 3 years Diagnosis and CPT coding in a clinic, business, or revenue cycle environment or any combination thereof. (Preferred)
• 2 - 3 years Broad knowledge of medical terminology and anatomy. (Preferred)

Licenses and Certifications

• Required: Coding Certification (CPC or CCS)
• Preferred: CPMA

Essential Functions

CODING SKILLS: Review medical records to assign ICD-10-CM, CPT, and HCPCS Level II codes and modifiers for accurate primary and multi-specialty billing. Provides analysis and education on coding trends and changes in payer policies to providers and staff.

CODING REVENUE CYCLE SKILLS: Review claim denials for coding issues, interpret payer guidelines, and assist insurance collectors with resolution for proper reimbursement. Prepare or assist with appeals process as necessary.

CODING PRODUCTIVITY: Performs coding duties accurately and timely to ensure appropriate reimbursement and maintain revenue flow continuity.

Additional Duties

• Adheres to the hospital and departmental attendance and punctuality guidelines.
• Performs all job responsibilities in alignment with the core values, mission and vision of the organization.
• Performs other duties as required and completes all job functions as per departmental policies and procedures.
• Maintains current knowledge in present areas of responsibility (i.e., self education, attends ongoing educational programs).
• Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time.
• Demonstrates competency at all levels in providing care to all patients based on age, sex, weight, and demonstrated needs.
• For non-clinical areas, has attended training and demonstrates usage of age-specific customer service skills.
• Wears protective clothing and equipment as appropriate.