Certified Medical Coder
About The Position
The Certified Medical Coder is responsible for reviewing all patient charts to ensure proper and accurate coding per CMS guidelines and payer requirements. As part of the essential functions of this role, the Certified Medical Coder reviews all patient charts, interprets medical information, and confirms that appropriate ICD-10 and CPT/HCPCS codes and modifiers are assigned. They ensure all possible codes have been captured within claims, and that all services being performed are coded to maximize billing. The coder queries providers for clarification on documentation to accurately assign all codes per CMS guidelines and coding rules, assists all providers with any medical coding questions or issues that arise, and communicates with all providers to ensure that they have the most current and accurate information to correctly chart on the patients.
Requirements
- High school diploma/GED
- Medical Coding Certification required (Through AAPC or other reliable source)
- Prior experience using EMR software
- At least 1 year of medical coding experience required
Nice To Haves
- Associates or higher preferred
- 3+ years of medical coding experience preferred
- Knowledge in one or all: Primary Care, Podiatry, STI, Pediatric, and Infectious Disease
- Billing experience
- Coding experience or familiarity with one or more of the following is preferred: Articles 28 (Primary Care), Article 31(OMH - Office of Mental Health NYS), or Article 32(OASAS - Office of Abuse and Substance Use Services)
- Awareness of and sensitivity to the issues and health disparities faced by underserved populations is essential
Responsibilities
- Reviews all patient charts, interprets medical information, and confirms that appropriate ICD-10 and CPT/HCPCS codes and modifiers are assigned.
- Ensures all possible codes have been captured within claims, and that all services being performed are coded to maximize billing.
- Queries providers for clarification on documentation to accurately assign all codes per CMS guidelines and coding rules.
- Assists all providers with any medical coding questions or issues that arise.
- Communicates with all providers to ensure that they have the most current and accurate information to correctly chart on the patients.
Benefits
- Multiple comprehensive medical health insurance plans to choose from
- Dental and Vision coverage at no cost to you
- Paid Time Off package equaling up to 4 weeks in your first year
- 403b with a generous company match
- Paid parking or monthly metro pass
- Professional development opportunities
- Paid lunch breaks
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
