Certified Professional Coder (CPC)

Greater Boston Urology • Hanover, MA

8d • $28 - $31 • Onsite

About The Position

To support the company by providing clinical documentation and diagnostic results through proper ICD -9- CM and ICD-10-CM and CPT codes for billing. Responsible for the Company Vision “To be the prominent urology practice with a reputation for delivering excellent and effective care in all urologic modalities. By providing full-service urology to the patients and communities we serve, there will be greater satisfaction as well as patient and physician loyalty which will allow continued success and growth.” Location: This is an in-office position, no remote hours.

Requirements

• Two years of experience working in a medical practice or in a health insurance organization
• High school diploma or equivalent
• Excellent verbal and written communication skills
• Claims processing skills
• Electronic Medical Records Experience
• Reasoning Ability
• Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
• Computer Skills
• To perform this job successfully, an individual should have thorough knowledge in computer information systems.

Responsibilities

• Proficient in assigning accurate medical codes for diagnoses, procedures, and evaluation and management services according to the appropriate classification system for outpatient and inpatient encounters
• Maintain knowledge of anatomy, physiology, and medical terminology commensurate with the ability to correctly code diagnoses and services
• Review all clinical progress notes for accuracy and completeness; obtain any missing information from Providers and clinical staff members
• Identify all chargeable items within each progress note and ensure proper CPT/HCPCS codes for each item
• Correctly complete and submit CMS 1500 and UB04 claims daily for outpatient services as designated by CMS
• Accurately enter all necessary modifiers on CMS 1500 claims
• Review patient claims for demographic and coding accuracy and completeness; obtain and enter any missing demographic information
• Assist the billing specialists in verifying and correcting coding issues per insurance requests or claim denials
• Assist the Clinic Manager in the monthly financial closing process when necessary
• Verify all requested medical records prior to release
• Remediate Providers and clinical support staff
• Maintain active Certified Professional Coder certification adherent to the most current code set for both International Classification of Disease and Current Procedural Terminology
• Verify appropriate diagnostic and procedural coding through documentation review
• Review billing from third party laboratories for accuracy
• Adhere to coding guidelines and reimbursement reporting requirements
• Ensures correct sequence correct / most accurate ICD-9/ICD-10 codes are assigned to diagnosis and procedures
• Follow the Standards of Ethical Coding as set forth by the AAPC
• Provide ongoing education to client practices as it relates to identified issues with coding and billing
• Assist with claims corrections and denial resolution
• Receives and responds to calls and notifications regarding medical record issues and orders
• Reviews utilization of services and outcomes with administrators
• Perform internal chart audits for documentation and coding accuracy and review encounter forms for coding accuracy
• Willing to travel to other locations for business needs
• Maintains strictest confidentiality
• Performs related work as required

Benefits

• Beyond competitive compensation, our well-rounded benefits package includes a range of comprehensive medical, dental and vision plans, HSA / FSA, 401(k) matching, an Employee Assistance Program (EAP) and more.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED