Certified Professional Coder

Advantia Health•Arlington, VA

About The Position

Advantia is seeking a Certified Professional Coder to join our team! The ideal candidate will have a strong background in medical coding, attention to detail, and the ability to lead and mentor a team of Medical Billers. This role is critical in ensuring accurate and efficient coding practices, compliance with regulatory standards, and optimizing revenue cycle processes. The ideal candidate for this role will have subspeciality experience in obstetrics, gynecology, lab billing, genetic testing, cancer screening, and mammography.

Requirements

High School/GED Education required
CPC-P or CPC certification is required (AAPC)
Minimum of 2 years of medical coding experience, with a focus on OBGYN coding.
In-depth knowledge of ICD-10-CM, CPT, HCPCS coding systems, and medical terminology.
Proficiency in electronic health records and billing software preferred.
This position requires certification as a Certified Coding Specialist (CCS) or Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).

Nice To Haves

Prior experience in lab billing, genetic testing, cancer screening, and mammography is preferred.
Certification in OBGYN coding (COBGC) preferred.

Responsibilities

Review Medical Records to identify diagnoses/procedures.
Perform accurate and timely coding of medical records using ICD-10-CM, CPT, and HCPCS codes.
Ensure compliance with federal and state regulations, payer guidelines, including Medicare and Medicaid guidelines and company policies.
Act as a liaison between the coding team and other departments, such as billing, compliance.
Work closely with OBGYN physicians, advanced practice providers, nurses, and administrative staff to ensure accurate coding and billing.
Track and request outstanding claims for assigned departments / facilities.
Implement best practices and innovative solutions to enhance coding operations.