Certified Professional Coder

Exceed Healthcare • Irving, TX

16h

About The Position

The Certified Professional Coder is responsible for reviewing medical documentation and assigning accurate diagnostic and procedural codes to support compliant billing, timely reimbursement, and high-quality health data. This role helps reduce denials and revenue leakage by ensuring claims are complete, accurate, and aligned with coding guidelines and regulatory requirements. The position also supports ongoing education, reporting, and process improvement to strengthen documentation integrity and coding performance across the organization.

Requirements

• Possession of an Accredited Record Technician’s certification (ART) or Certified Coding Specialist designation (CCS) issued by the American Health Information Management Association.
• Five years of experience in medical record coding.
• Knowledge of ICD-9-CM and CPT coding guidelines; medical terminology; anatomy and physiology; state and federal Medicare reimbursement guidelines; English grammar and usage.
• Ability to research and analyze data, draw conclusions, and resolve issues; read, interpret, and apply policies, procedures, laws, and regulations.
• Ability to read and interpret medical procedures and terminology.
• Ability to develop training materials, make group presentations, and train staff.
• Ability to exercise independent judgment.
• Excellent written and verbal communication skills to prepare reports and related documents and to maintain working relationships with physicians and other staff.
• Ability to maintain confidentiality.

Responsibilities

• Evaluate medical record documentation and charge-ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support outpatient visits and that data complies with legal standards and guidelines.
• Interpret medical information such as diseases or symptoms and diagnostic descriptions and procedures to assign and sequence the correct ICD-9-CM and CPT codes accurately.
• Review state and federal Medicare reimbursement claims for completeness and accuracy before submission to minimize claim denial.
• Evaluate records and prepare reports on such topics as the number of claims denied or documentation or coding issues for review by management.
• Develop and update procedures manuals to maintain standards for correct coding, minimize the risk of fraud and abuse, and optimize revenue recovery.
• Provide technical guidance to physicians and other staff in identifying and resolving issues or errors, such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines.
• Read bulletins, newsletters, and periodicals and attend workshops to stay abreast of issues, trends, and changes in laws and regulations governing medical record coding and documentation.
• Educate and advise staff on proper code selection, documentation, procedures, and requirements.
• Identify training needs, prepare training materials, and conduct training for physicians and support staff to improve skills in the collection and coding of quality health data.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed