Certified Professional Coder

The Orthopedic Institute of Pennsylvania•Enola, PA

just now

About The Position

At the Orthopedic Institute of PA, our mission since 1971 has been to create an amazingly positive, memorable experience for every patient, family, and team member. We treat each other with crazy courtesy and exceptional empathy and work together to perfect processes to achieve our mission. You'll join a culture of excellence and teamwork, focusing on investing in our team and local communities. OIP offers a great work environment, professional development, challenging careers, and competitive compensation. POSITION SUMMARY: Certified Professional Coder (CPC or CPC-A) to provide quality review and analysis of a wide range of patient medical records, ensure coding accuracy, and maintain records by accepted medical and legal standards. Responsible for reviewing medical records to ensure proper billing of the medical history, comparison of physician-chosen CPT and ICD-10 codes to the physicians' documentation to substantiate the level of coding, physician services to include identification of professional services in and complete review of medical records to optimize all professional services documented for billing accurately.

Requirements

High school diploma or equivalent General Educational Development (GED) certificate.
Certified Professional Coder (CPC or CPC-A) is required.
Knowledge of medical billing practices and office policies and procedures
Knowledge of insurance
Knowledge of all confidential requirements regarding patients and strict maintenance of proper confidentiality on all such information.
Knowledge of medical terminology, basic anatomy and physiology
Knowledge of grammar, spelling and punctuation
Skill in operating computers, calculators, copiers, printers, fax machines, and telephones
Skill in using a 10 key calculator
Excellent math skills
Excellent communication skills, both written and oral
Must possess tact and diplomacy
Must possess sufficient manual dexterity to perform the essential responsibilities to meet customer needs effectively
Demonstrates initiative to provide quality of services and improve efficiency
Maintains positive working relations with co-workers
Time management skills
Ability to deal professionally and courteously, and efficiently with the public and to remain calm under stress.
Ability to understand and interpret policies and regulations.
Ability to prepare documents in response to complaints and inquiries
Ability to examine documents for accuracy and completeness
Ability to communicate effectively in the English language

Nice To Haves

Experience in a medical office setting is preferred

Responsibilities

Review of electronic medical records initiated by a health care provider.
Coding of paper-based records may need to be accomplished.
Verifying and coding the diagnosis, evaluation and management, procedures, or other codes required for the completeness and accuracy of the record.
Review and verify parts of medical records to ensure completeness and accuracy of diagnosis, operations, and unique therapeutic procedures.
Code and review the principal diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS – all levels, and any other coding classification systems that may be required).
Perform edit checks on data entered before transmittal and correct errors as indicated.
Analyze medical record documentation for consistency and completeness for coding purposes using established criteria and regulations.
Examine all documents in the record for authorized signature and patient identification to ensure all documents contain sufficient documentation to support the diagnosis and treatment administered and the results obtained are adequately described.
Perform other miscellaneous administrative duties as assigned.