Certified Professional Coder

DaMar Staffing; North Carolina; On-site; USD 33,000 - 55,000; Full time

Job summary

DaMar Staffing is seeking a qualified medical coder to prepare and submit clean electronic and paper claims, assigning CPT, ICD-9 and ICD-10 codes to support accurate billing for each patient encounter.

The role requires CPC certification and a high school diploma or GED, plus experience with EMR and billing systems, HIPAA compliance, and strong attention to detail. Typical hours are 8:00–5:00, Mon–Fri, on-site in North Carolina area offices.

Qualifications

• Requires CPC certification and a high school diploma or GED.
• Prior medical coding experience and familiarity with CPT, ICD-9, ICD-10 billing.
• Strong knowledge of medical terminology and HIPAA guidelines.

Responsibilities

• Codes from final office visit and surgical/procedural reports.
• Reviews medical records and assigns primary/secondary diagnoses using CPT, ICD-9, ICD-10.
• Verifies and submits claims electronically and on paper.
• Enters patient copayment information into the EMR.
• Keeps documentation compliant with HIPAA and confidentiality standards.
• Communicates with providers for documentation and coding accuracy.

Skills

CPT coding

ICD-9/ICD-10 coding

HIPAA/compliance

Data entry 50 wpm

10-key

Customer service

Medical terminology

Education

High school diploma or GED

CPC certification

Tools

EMR systems

Microsoft software

Job description

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

Salary: up to $40/hr. with experience

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; currentCPC 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:Medical Office environment

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