The Certified Coder assists in the delivery of primary health care and patient care management, ensuring that charges are coded and consistent with documentation and applicable coding policies.
Review and abstract patient medical records to assign diagnoses, treatments, and surgical procedures for professional services
Ensure all services documented in the patient’s medical record are coded with appropriate diagnoses and procedure codes
Utilize query process when services are not documented appropriately
Enter codes into practice management system and rectifies errors in the pre-processor and post-processor editing systems
Provide education to providers regarding results of periodic audits while maintaining exceptionally high degree of professionalism
Maintain a working knowledge, and stay abreast of, CPT-4, ICD-10, HCPCS coding principles, modifier usage, medical terminology, governmental regulations, protocols and third party payer requirements pertaining to billing, coding and documentation
Maintain a daily average of 35-45 surgical charts per day
Maintain a daily average of 250 + clinic tickets per day
Work coding denials by payer or specialty
Must be able to transition from one task to another without difficulty
Must be able to retain education and training with in a reasonable amount of time
Must be able to work independently without direct supervision
Must have a minimum of 1 year experience, including some surgical coding.
Must be CPC-A, CPC or CCS-P certified
Have a good working knowledge of medical terminology and anatomy