Certified Professional Coder Consultant

Yeo & Yeo•Saginaw, MI

About The Position

Yeo & Yeo Medical Billing & Consulting is seeking a Certified Professional Coder Consultant to review medical records, verify coding accuracy, and summarize findings. The consultant supports education for clients and staff, serves as a coding contact and resource for billing staff, and uses strong communication and customer service skills to help maintain an efficient and productive office. The role includes coding and billing reviews, chart and internal audits, workflow analysis, on-site billing, and education for client providers and staff on documentation and coding requirements. The consultant provides actionable recommendations to improve coding accuracy and documentation practices, supports compliance, contributes to lead generation for consulting services, and may testify when an audit proceeds to litigation. Travel to client locations within the state is required. The position also involves some medical billing duties, helping resolve coding questions, sharing coding updates, and maintaining knowledge of applicable technology, paperless systems, tools, processes, and coding requirements. The role reports to a direct supervisor. Yeo & Yeo describes its workplace as collaborative and focused on career development, learning, and supporting employees’ professional and personal growth. Candidates must be legally authorized to work in the United States without sponsorship.

Requirements

Associate degree in Business Administration or equivalent, or a combination of education and work experience that enables performance of the position.
AAPC Certified Professional Coder (CPC) certification.
Ability to code conditions and procedures using ICD-10-CM and CPT.
Knowledge of medical terminology and anatomy.
Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
Ability to use computer systems, software, and a 10-key calculator.
Effective communication skills for phone contacts with insurance payers to resolve issues.
Customer service skills for interacting with patients about medical claims and payments, including patients and family members of diverse ages and backgrounds.
Ability to work in a team environment.
Problem-solving skills to research and resolve discrepancies, denials, appeals, and collections.
Knowledge of accounting and bookkeeping procedures.
Strong communication and presentation skills.
Proven relationship-building skills with clinical and non-clinical personnel.
Ability to accept and adjust to changing priorities and circumstances.
Ability to take charge, be action-oriented, and persist until work is completed.
Willingness to accept responsibility and be accountable for one’s actions.
Candidates must be legally authorized to work in the United States without sponsorship.

Nice To Haves

Certified Professional Medical Auditor (CPMA) certification.
Actively pursue learning and development opportunities.
Experience with Microsoft Office.
Experience with medical billing workflow software.
Ability to understand and stay current on new technology.

Responsibilities

Abstract clinical information from medical records and assign appropriate CPT and ICD-10 codes using industry-standard guidelines for various specialties.
Maintain current knowledge of coding and documentation requirements.
Share and present CPT and ICD-10 changes.
Assist staff with coding questions and serve as a coding contact and resource for billing staff.
Perform medical billing duties, coding audits at client offices, chart audits, billing reviews, workflow analysis, and on-site billing.
Educate client providers and staff about documentation and coding guidelines and changes to support compliance with state and federal regulations.
Provide client providers with measurable, actionable solutions to improve documentation and coding accuracy and best practices.
Generate leads for consulting services.
Conduct internal audits and present findings to the compliance team.
Travel within the state to client locations.
Testify on audits that proceed to litigation.
Assist clients in a courteous and timely manner.
Meet and exceed goals established through the annual performance evaluation process.
Build knowledge and use of applicable company technology, paperless systems, tools, and processes.
Participate in on-the-job and formal learning and development opportunities.
Take ownership of work, adjust to changing priorities, and remain accountable for actions.