Certified Professional Coder

Advanced Pain Care•Austin, TX

6h•Onsite

About The Position

The certified coder prepares and submits clean claims to insurance companies electronically and by paper, and provides appropriate coding for each patient’s medical history, diagnosis, tests and treatment plan. This role involves reviewing medical records, accurately coding diagnoses and procedures, verifying claim accuracy, and submitting claims using Electronic Medical Records systems and paper claims. The coder will also enter patient copayment information, reconcile charges, investigate and re-bill rejected claims, and maintain strict confidentiality and accuracy. Communication with clinical staff and providers regarding documentation and coding feedback is essential, as is staying informed about regulatory changes. The position requires operating standard office equipment and adhering to company policies and procedures.

Requirements

Requires a high school diploma or GED.
Current CPC certification required.
Prior medical coding experience required.
Must be familiar with correct billing techniques, CPT, ICD-9, ICD-10 coding, electronic medical records and strong knowledge of medical terminology.
Extensive knowledge of coding in-office and surgical procedures and applicable modifiers.
Advanced knowledge of ICD-9-CM & CPT-4 coding conventions.
Knowledge of Anatomy and Physiology.
Knowledge of Medical Terminology.
Knowledge of EMR systems and Microsoft software applications.
Effective written and verbal communication skills.
Data entry skills and ability to type 50+ wpm.
Proficient in using 10 key and doing basic arithmetic.
Ability to maintain patient confidentiality and comply with HIPAA guidelines.
Time management skills and ability to work efficiently to complete tasks.
Excellence in customer service.

Responsibilities

Codes from final office visit, surgical/procedural operative reports signed by providers.
Reviews medical records and accurately codes primary and secondary diagnoses using CPT, ICD-9 and ICD-10 conventions; sequences the diagnoses and procedures using coding guidelines.
Verifies accuracy and submits claims to insurance using Electronic Medical Records systems and paper claims.
Enters patient copayment information into the EMR.
Reconciles charges against the schedule list to ensure no charges are missed.
Investigates rejected claims to see why denials were issued as necessary.
Re-bills rejected claims in a timely manner.
Maintains strict confidentiality and a high degree of accuracy.
Consults classification manuals and relies on knowledge of disease processes.
Correlates information from supporting clinical documentation when appropriate.
Communicates with clinical, ancillary services and medical personnel for needed documentation.
Provides feedback to providers as it pertains to proper coding and clinical documentation.
Keeps staff members informed of regulatory changes and updates.
Identifies and participates in educational opportunities for self.
Serves and protects the practice by adhering to professional standards, policies and procedures, federal, state, and local requirements.
Enhances practice reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
Operates standard office equipment (e.g. copier, personal computer, fax, etc.).
Has regular and predictable attendance.
Adheres to Advanced Pain Care’s Policies and procedures.
Performs other duties as assigned.