Certified Professional Coder Representative

TaskUs•San Antonio, TX

About The Position

Think of yourself as someone who will provide world-class service to our customers or clients in an accurate, efficient, and respectful manner on every call as measured by different performance metrics, so not everyone can qualify for this role. We make sure we get the best of the best, after all, we are a ridiculously good company so we make sure our employees are top-notch. So come on, now we need your full concentration because it’s time to imagine what it’s like being a Certified Professional Coder. As a Certified Professional Coder you will.... Audit charts to ensure accurate ICD-10 CM and CPT code assignment as well as documentation integrity to prevent claim denials. Use critical and logical thinking skills in chart-auditing based on the guidance set forth by the client. Uphold netiquette and professionalism in any interaction with the TaskUs team, other vendors and the client. The CPC will be responsible for reviewing medical records and determining compliant clinical documentation for the support of diagnostic and procedural codes related to outpatient behavioral health services. The ideal candidate will have experience with medical coding in behavioral health and be knowledgeable about mental health diagnoses and treatments as well as the necessary documentation requirements. The CPC will work closely with the billing and administrative team to ensure accurate and timely submission of claims for behavioral health services and for which there has been a documentation request.

Requirements

High school diploma or equivalent; associate's or bachelor's degree in healthcare administration, business, or related field preferred
CPC certification from the American Academy of Professional Coders (AAPC) or equivalent certification required
Minimum of 2 years of experience in medical coding, preferably in an outpatient setting or for professional services.
Knowledge of ICD-10, CPT, and HCPCS coding systems and guidelines
Strong attention to detail and ability to work independently
Excellent communication, interpersonal, and organizational skills
Proficient in Google Sheets and electronic medical record (EMR) systems

Responsibilities

Review medical records and verify the documentation justifies the diagnostic and procedural codes (ICD-10 CM and CPT codes)
Verify and abstract all medical data from patient records, including treatment plans, diagnoses, and procedures.
Ensure compliance with coding guidelines and regulations, including HIPAA and CMS guidelines.
Monitor and report on coding-related trends and issues, and make recommendations for process improvements.
Maintain up-to-date knowledge of coding guidelines and regulations, and attend continuing education courses as required to maintain CPC certification.
Maintain accurate and complete documentation of coding activities and communicate effectively with team members and other stakeholders.
Participate in quality improvement initiatives and other projects as assigned.