CPC/CRHC Part Time w/Full Time Potential

PIEDMONT ARTHRITIS; Greenville (SC); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

401(k)

PTO

Group Health & Dental Insurance

Life Insurance

Uniform Allowance

Paid Holiday

Bonus: Performance Rewards

Job summary

Piedmont Arthritis is seeking a detail-oriented Certified Professional Coder (CPC) to join our rheumatology team. The coder will accurately assign CPT, ICD-10, and HCPCS codes, ensuring compliant documentation and reimbursement.

Training occurs in-office, with possible work-from-home options after training completion. Responsibilities include coding audits, claims management, provider education, and maintaining confidentiality per HIPAA guidelines.

Qualifications

• High school diploma or equivalent.
• Certified Professional Coder (CPC) or similar certification (e.g., AAPC, AHIMA) is required.
• Minimum of 2-3 years of medical coding experience, rheumatology experience preferred.
• In-depth knowledge of ICD-10-CM, CPT, and HCPCS Level II coding guidelines.
• Proficiency with EHR systems and medical billing software.
• Strong analytical skills and exceptional attention to detail.
• Excellent communication and interpersonal skills.

Responsibilities

• Coding & Auditing: Review medical records to assign CPT, ICD-10, and HCPCS codes; ensure compliance with regulations and policies; conduct internal audits.
• Claims Management: Work with billing team to submit clean claims and resolve denials; support documentation for appeals.
• Provider Education: Serve as coding resource for providers and staff; educate on documentation requirements and new guidelines.
• General Duties: Maintain HIPAA confidentiality; collaborate on revenue cycle management; perform admin tasks as needed.

Education

High school diploma or equivalent

Certified Professional Coder (CPC)

2-3 years medical coding experience

ICD-10-CM, CPT, HCPCS Level II knowledge

EHR and medical billing software proficiency

Strong analytical and attention to detail

Excellent communication and interpersonal skills

Job description

Description

Certified Professional Coder

Job Summary:

We are seeking a detail-oriented and experienced Certified Professional Coder to join our rheumatology practice. The ideal candidate will be responsible for accurately coding patient encounters, procedures, and diagnoses to ensure proper billing and reimbursement. This role requires a strong understanding of medical terminology, coding guidelines, and an ability to work collaboratively with our clinical and billing teams. This position will be in office during training and is possible for work from home dependent on training completion.

Essential Functions and Responsibilities

• Coding & Auditing:
  • Review and analyze medical records, including physician notes, lab results, and diagnostic reports, to accurately assign appropriate CPT, ICD-10, and HCPCS codes.
  • Ensure all coding is compliant with federal regulations, insurance company policies, and best practices.
  • Conduct regular internal audits to identify and correct coding discrepancies and potential compliance issues.
• Claims Management:
  • Work closely with the billing team to submit clean claims and resolve coding-related denials or rejections.
  • Provide documentation support to the collections team for appeals and complex claims.
  • Stay up-to-date with changes in coding guidelines, payer policies, and industry regulations.
• Provider Education:
  • Serve as a coding resource for providers and clinical staff, answering questions and providing guidance on documentation requirements to support accurate coding.
  • Educate providers on new coding guidelines and best practices to improve documentation quality.
• General Duties:
  • Maintain strict confidentiality of all patient information in accordance with HIPAA regulations.
  • Collaborate with the entire team to ensure efficient and accurate revenue cycle management.
  • Perform other administrative and clerical tasks as needed.

ADA Physical Requirements

• Data Entry and Manipulation: Constantly operating a computer, phone system, and other office productivity machinery (e.g., printer, copier) which requires the use of hands/fingers to handle, feel, operate, and input data (typing, writing, etc.).
• Stationary Position: The need to remain in a stationary position (sitting or standing) for extended periods to perform computer and phone work.
• Movement: Occasionally needing to move about inside the office to access file cabinets, office machinery, or other workstations.
• Visual Acuity: The ability to observe and read computer screens, forms, charts, and small print for accurate information and assessment.
• Lifting/Carrying: Minimal requirements, typically sedentary to light (moving or transporting items up to 10-20 pounds), such as files, supplies, or a laptop.

Required Qualifications

• High school diploma or equivalent.
• Certified Professional Coder (CPC) or a similar certification from a recognized organization (e.g., AAPC, AHIMA) is required.
• Minimum of 2-3 years of medical coding experience, with specific experience in rheumatology or a related specialty highly preferred.
• CRHC HIGHLY PREFERRED
• In-depth knowledge of ICD-10-CM, CPT, and HCPCS Level II coding guidelines.
• Proficiency with Electronic Health Record (EHR) systems and medical billing software.
• Strong analytical skills and exceptional attention to detail.
• Excellent communication and interpersonal skills.

Why Work For Us?

• 401(k)Future-Proof Your Money (with a Match!)
  • Get a head start on retirement with our 401(k) plan, including a competitive employer match. It's the easiest free money you'll ever get, letting you build wealth while you work.
• Paid Time Off (PTO) Freedom & Flexibility:
  • Mix your vacation, sick, and personal days into one flexible bank. Take the time you need to recharge, travel, or just crush that to-do list at home. We believe in work-life balance.
• Group Health & Dental Insurance Affordable, Quality Care (Health & Dental)
  • Stay healthy without the high cost. Access to a great medical and dental network to keep you covered from annual checkups to unexpected events - at a price that won't drain your bank account.
• Life Insurance: Peace of Mind Coverage
  • We provide life insurance for you at zero cost. It's one less thing to worry about, providing a financial safety net for your family or loved ones
• Uniform Allowance: Gear Up Stipend
  • Get an annual allowance to buy the scrubs and gear you prefer. Spend it on new, comfortable gear so you can look and feel your best every day.
• Paid Holiday (For Eligible Employees): Celebrate & Recharge
  • Enjoy a standard set of paid days off for major federal holidays. No need to burn your PTO for holidays like Thanksgiving or Christmas.
• Bonus: Performance Rewards
  • While not guaranteed, the practice leadership often awards a bonus to recognize outstanding individual effort and contributions to the team’s success. Your hard work gets noticed.

Company Mission and Values

• "To partner with you on your journey to better health, providing compassionate, advanced rheumatologic care and empowering you to lead a healthier, more fulfilling life."
• Compassion and Empathy: Recognizing the chronic nature of rheumatic diseases and the emotional, physical, and financial toll they take on patients, and treating everyone with kindness and sensitivity.
• Clinical Excellence/Quality of Care: Committing to the highest level of evidence-based medicine, accurate diagnosis, and continually improving patient outcomes.
• Patient-Centered Care: Focusing on the individual patient's needs, preferences, and goals, fostering shared decision-making, and respecting their autonomy.
• Integrity and Trust: Adhering to high ethical standards, being honest and transparent in communication, and building long-term, trusting relationships with patients.

EEOC & Reasonable Accommodation Statement

Piedmont Arthritis is an equal opportunity employer. To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions. All qualified applicants will receive consideration for and within employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. We are committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. To request reasonable accommodation, contact Human Resources.