Certified Professional Coder

External Community Memorial HospitalHamilton, NY

About The Position

This role involves performing timely and accurate coding of patient visits, ensuring diagnoses are coded to the highest specificity, selecting the appropriate E/M level, and capturing all procedures and modifiers. The coder will review medical records for consistency, accuracy, and compliance with third-party reimbursement guidelines. This position also requires participation in regular educational sessions with physicians, APPs, and other team members, and maintaining current certification status. The coder will stay updated with AAPC and other coding guidelines, prepare for new procedures, and assist patients in resolving back-end billing errors. Maintaining patient confidentiality, complying with HIPAA and privacy standards, and adhering to ethical business practices are also key responsibilities. Other duties may be assigned as needed.

Requirements

  • Certified Professional Coder
  • Maintains current status, in good standing, with coding certificate.
  • Remain updated and fluent with AAPC and other coding bulletins, newsletters and guidelines.
  • Be prepared coding new and upcoming procedures.
  • Maintains patient confidentiality at all times.
  • Complies with all HIPAA and privacy standards.
  • Complies with organizational policies regarding ethical business practices.

Responsibilities

  • Performs timely and accurate coding of the visit, ensuring diagnosis to the highest specificity, accurate E/M level and capture of all procedures/modifiers.
  • Reviews the medical record to ensure consistency and accuracy as well as compliance with established third-party reimbursement agencies.
  • Participates in regular education with all Physicians, APPs and other team members.
  • Maintains current status, in good standing, with coding certificate.
  • Remains updated and fluent with AAPC and other coding bulletins, newsletters and guidelines.
  • Be prepared coding new and upcoming procedures.
  • Assists patients in implementing solutions to reduce back-end billing errors.
  • Maintains patient confidentiality at all times.
  • Complies with all HIPAA and privacy standards.
  • Complies with organizational policies regarding ethical business practices.
  • Performs other duties as assigned or requested.
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