Certified Professional Coder

DCH Health SystemClinics in Millport Fayette Tuscaloosa, AL
Hybrid

About The Position

A Certified Professional Coder (CPC) job description generally involves reviewing patient medical records, abstracting relevant clinical information, and assigning appropriate medical codes using ICD-10, CPT, and HCPCS code sets. CPC responsibilities also include ensuring accurate documentation and coding, facilitating claims processing, and complying with regulatory requirements.

Requirements

  • Certified Professional Coder (CPC) or Certified Coding Specialist Physician Based (CCS-P) or Certified Radiology Coder (RCC) is required.
  • Strong understanding of coding systems (ICD-10, CPT, and HCPCS), coding guidelines, and relevant regulations.
  • Ability to meticulously review documentation and accurately assign codes.
  • Effectively communicate with healthcare providers, billing staff, and other stakeholders.
  • Ability to identify and resolve coding discrepancies and errors.
  • Maintain accurate records, manage workload effectively, and prioritize tasks.
  • Proficiency in using coding software and electronic health records (EHR) systems.
  • Must be able to use personal transportation to provide courier services for the office.
  • Valid driver’s license and automobile liability insurance.
  • Very good interpersonal communication and customer service skills required.
  • Exerting 20 – 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to more objects. Physical Demand requirements are in excess of those for Light Work.
  • Good manual and finger dexterity.
  • Ability to tolerate prolonged periods of sitting.
  • Some light driving required.
  • Contact with Others, Deal with external customers/clients, sometimes dealing with unpleasant people, occasionally coordinating letters/memos, working with work groups or as a Team constantly/consistently.

Nice To Haves

  • Prior experience doing physician/provider professional fee billing is preferred.

Responsibilities

  • Accurately translate patient encounters into standardized medical codes (ICD-10, CPT, and HCPCS).
  • Analyze patient records for completeness, accuracy, and compliance with coding guidelines.
  • Research and analyze data needs for accurate and timely reimbursement.
  • Conduct chart audits, identify coding discrepancies, and implement corrective actions.
  • Communicate effectively with healthcare providers to clarify coding issues and ensure accurate documentation.
  • Keep abreast of changes in coding guidelines, regulations, and technology.
  • Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
  • Performs compliance requirements as outlined in the Employee Handbook
  • Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
  • Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.
  • Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees.
  • Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees.
  • Requires use of electronic mail, time and attendance software, learning management software and intranet.
  • Must adhere to all DCH Health System policies and procedures.
  • All other duties as assigned.
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