Certified Coder PPG CBO

Phoebe Putney Health System; Albany (GA); On-site; USD 52,000 - 75,000; Full time

Job summary

Phoebe Putney Health System in Albany, GA is seeking a skilled Medical Claims Coder to assign ICD-10-CM, CPT, and HCPCS Level II codes for diverse clinical settings. The role requires attention to detail to ensure accurate billing and compliant documentation.

Candidates should have CPC or CCS certification and 2–3 years of coding experience in clinics or revenue cycle environments, plus strong medical terminology knowledge.

Qualifications

• Must have CPC or CCS certification.
• 2–3 years coding experience in clinic or revenue cycle environments.
• Strong knowledge of medical terminology and anatomy.

Responsibilities

• Review medical records to assign ICD-10-CM, CPT, and HCPCS Level II codes and modifiers for accurate primary and multi-specialty billing.
• Provide analysis and education on coding trends and payer policies to providers and staff.
• 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.
• Performs coding duties accurately and timely to ensure appropriate reimbursement and maintain revenue flow continuity.

Skills

ICD-10-CM

CPT coding

HCPCS Level II

Medical terminology

Payer policies

Revenue cycle

Education

High School Diploma

Vocational/Technical Degree

Associate in HIM

Job description

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 Certifications/Licensures: Coding Certification (CPC or CCS)
• Preferred Certifications/Licensures: 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.