Offer summary

Qualifications:

CPC certification required through AAPC, At least one year of previous medical billing experience, In-depth knowledge of medical terminology and ICD-10-CM classification systems, Strong written and verbal communication skills..

Key responsibilities:

Review medical records to ensure proper billing and coding accuracy

Participate in audits to evaluate coding accuracy and develop improvement methodologies

Code medical records according to Official Coding Guidelines and Risk Adjustment Guidelines

Maintain compliance with HIPAA regulations regarding patient confidentiality.

Job description

Description

Certified Coder reviews medical records to assure proper billing. Participates in audits to evaluate if all selected codes are accurate and develops methodologies to improve coding issues identified. Codes must meet QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines).

Requirements

Essential Job Functions:

CPC certification required through AAPC
Excellent written and verbal communication skills
Good interpersonal skills and team oriented
Well organized and detail oriented
Positive attitude, enthusiastic and energetic.
At least one year of previous medical billing experience
Previous primary care experience a plus
Ability to perform well in a fast-paced team environment and to manage time effectively.
In-depth knowledge of medical terminology, anatomy, physiology, and disease process. Comprehensive understanding of ICD-10-CM classification systems.
Ability to read and analyze patient records to determine a set of established and correct medical codes, for accurate medical billing.
Ability to code using an ICD-10-CM code book (without using an encoder);
Strong clinical knowledge related to chronic illness diagnosis, treatment and management is a plus.
Reliability and a commitment to meeting tight deadlines
Computer proficiency (including MS Windows, MS Office, and the Internet);
Strong organization skills; interpersonal and customer service skills; written and oral communication skills; and analytical skills;
Knowledge of HIPAA, recognizing a commitment to privacy, security and confidentiality of all medical chart documentation.

Education/Training/Experience:

High school diploma / GED
Have a working insurance collection knowledge including verification of insurance and insurance follow up activities to get claims paid.

Physical & Mental Requirements: (check all that apply)