Certified Coding Specialist
Ensures all technical aspects of the assignment of diagnostic, procedural and surgical coding is carried out in accordance with established standards and is in compliance with CMS, third party payers and other regulatory agencies. Functions include but are not limited to coding medical records utilizing ICD-9-CM and CPT-4 coding conventions and reviewing the medical record to assure specificity of diagnoses, procedures, and surgeries and appropriate reimbursement for hospital and/or professional charges. Abstract information from medical records following established methods and procedures.
Essential Job Responsibilities:
- Implement new guidelines. A CPC must ensure that new coding guidelines are implemented in a timely manner.
- Update patient information: Patient information forms must also be updated from time to time as per requirement.
- Code accurately: The most important task of a CPC is to determine accurate codes for physicians diagnosis and procedures.
- Safeguard medical records and preserves the confidentiality of personal health information through the observance of physician network policies pertinent to the release of medical record information, record retention, and HIPAA privacy and security.
Education Requirements: High School Diploma required.
Experience Required: Minimum of two years of professional coding experience for a multi-physician clinic required. Experience must include consultation with and educating physicians on coding practices and conventions in order to provide detailed coding information.
Performance Requirements (Knowledge, Skills & Abilities):
- Working knowledge of Current Procedure Technology (CPT), ICD-9 and HCPCS coding.
- Experience with Athena billing software preferred.
- Ability to effectively communicate and work with patients, physicians, staff and administration.
- Outstanding written and verbal communication skills.
- Ability to work independently with minimal supervision.
- Self-audit of work and awareness of impact on revenue cycle is key.
- Establish and maintain effective working relationships with other employees, physician shareholders, and vendors;
- Handle calls and represent the company in a professional manner.
- Communicate effectively in writing, over the telephone, and in person;
- Hold information confidential;
- Recognize, evaluate, solve problems, and correct errors; and
- Multi-task and stay focused on the immediate task.
Licensure/certification/registration: CPC or CCS-P required.
Equipment Operated: Standard office equipment including computers/internet, fax machines, copiers, printers, scanners, telephones, etc.
Work Environment: Position is in a well-lighted, temperature-controlled office environment.
Attire: Business casual (professional and conservative)
Mental/Physical Requirements: Daily activity is 80 percent sitting and 20 percent walking or standing. Requires corrected vision and hearing to normal range.
Status: Regular, Full-time
Status: Regular, Full-time