Certified Professional Coder

Advanced-Pain-Care; Austin (TX); On-site; USD 50,000 - 75,000; Full time

Job summary

Advanced Pain Care is hiring a certified medical coder in Texas. The ideal candidate codes from final visit and procedure notes, assigns CPT/ICD-9/ICD-10 codes, and submits claims electronically or on paper.

The role requires CPC certification, EMR experience, and strong HIPAA compliance. The coder will reconcile charges, review documentation for accuracy, and communicate with providers to obtain necessary records.

Qualifications

• Must have CPC certification and a high school diploma or GED.
• Prior medical coding experience with CPT, ICD-9, ICD-10.
• Experience with EMR systems and accurate data entry.
• Strong knowledge of anatomy, physiology and medical terminology.
• Excellent written and verbal communication; 50+ wpm.
• HIPAA compliance and patient confidentiality.
• Ability to sit/stand for long periods and lift up to 30 pounds.

Responsibilities

• Code from final office visits and surgical reports.
• Review records and assign primary/secondary diagnoses per coding conventions.
• Submit claims electronically or on paper.
• Enter patient copayment info into the EMR.
• Reconcile charges with the schedule; identify and correct discrepancies.
• Investigate denials and rebill as needed.
• Maintain confidentiality and comply with HIPAA; follow policies.

Skills

Coding accuracy

CPT/ICD knowledge

HIPAA compliance

Data entry speed

Communication skills

Time management

Confidentiality

Attention to detail

Anatomy & physiology

Microsoft Office proficiency

Education

High school diploma or GED; CPC certification

Tools

EMR systems

Microsoft Office

Job description

Description

***Must reside in Texas, Georgia, Mississippi, Montana, North Carolina, Oklahoma, or Wisconsin***

Job purpose

• The certified coder prepares and submits clean claims to insurance companies electronically and by paper, and provides appropriate coding for each patient’s medical history, diagnosis, tests and treatment plan.

Duties and responsibilities

• Primarily codes from final office visit, surgical/procedural operative reports signed by providers
• Reviews medical records and accurately code primary and secondary diagnoses using CPT, ICD-9 and ICD-10 conventions; sequence the diagnoses and procedures using coding guidelines
• Verifies accuracy and submits claims to insurance using Electronic Medical Records systems and paper claims
• Enters patient copayment information into the EMR
• Reconciles charges against the schedule list to ensure no charges are missed
• Investigates rejected claims to see why denials were issued as necessary
• Re-bills rejected claims in timely manner
• Maintains strict confidentiality and high degree of accuracy
• Consults classification manuals and relies on knowledge of disease processes
• Correlates information from supporting clinical documentation when appropriate
• Communicates with clinical, ancillary services and medical personnel for needed documentation
• Provides feedback to providers as it pertains to proper coding and clinical documentation
• Keeps staff members informed of regulatory changes and updates
• Identifies and participates in educational opportunities for self
• Serves and protects the practice by adhering to professional standards, policies and procedures, federal, state, and local requirements
• Enhances practice reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments
• Operates standard office equipment (e.g. copier, personal computer, fax, etc.).
• Has regular and predictable attendance
• Adheres to Advanced Pain Care's Policies and procedures
• Performs other duties as assigned

Requirements

Qualifications

Education: Requires a high school diploma or GED; current CPC certification required

Experience:

Prior medical coding experience required; must be familiar with correct billing techniques, CPT, ICD-9, ICD-10 coding, electronic medical records and strong knowledge of medical terminology.

Knowledge, Skills and Abilities:

• Extensive knowledge of coding in-office and surgical procedures and applicable modifiers
• Advanced knowledge of ICD-9-CM & CPT-4 coding conventions
• Knowledge of Anatomy and Physiology
• Knowledge of Medical Terminology
• Knowledge of EMR systems and Microsoft software applications
• Effective written and verbal communication skills
• Data entry skills and ability to type 50+ wpm
• Proficient in using 10 key and doing basic arithmetic
• Ability to maintain patient confidentially and comply with HIPAA guidelines
• Time management skills and ability to work efficiently to complete tasks
• Excellence in customer service

Working conditions

Environmental Conditions:

Physical Conditions:

• Must be able to work as scheduled - typically from 8:00 - 5:00 M-F
• Must be able to sit and/or stand for prolonged periods of time
• Must be able to bend, stoop and stretch
• Must be able to lift and move boxes and other items weighing up to 30 pounds.
• Requires eye-hand coordination and manual dexterity sufficient to operate office equipment