Certified Professional Coder

Benefits Include:

• Monday - Friday (No weekends and no holidays)
• Health, dental, and vision full coverage for individual
• Short term/long term disability options
• Vacation (annual) + PTO (accrued weekly)
• 16 paid holidays in the calendar year
• 401K - 5% matching
• Parental, medical, education, bereavement leaves and more

Basic Function:

Incumbent reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid, and private insurance payments. Ensures compliance with coding guidelines, reimbursement policies, regulations, and accreditation guidelines.

General Responsibilities:

• Abstracts information and assigns codes (ICD-10, CPT, HCPCS) accurately describing diagnoses, surgical procedures, and therapies.
• Validates diagnoses and procedures as stated by providers.
• Performs comprehensive record review for completeness including patient identification and required signatures.
• Evaluates documentation consistency and adequacy for accurate diagnosis representation.
• Ensures correct evaluation and management levels and CPT code assignment.
• Accurately enters codes into electronic health record and billing systems, generates reports, and follows up on outstanding encounters.
• Conducts chart reviews and audits, provides feedback and education to providers and staff.
• Acts as coding subject matter expert; queries providers for clarification.
• Participates in staff meetings, trainings, and quality assurance activities.
• Adheres to all department, tribal, and health system policies and procedures.

Knowledge, Skills & Abilities:

• Advanced knowledge of coding systems, medical terminology, anatomy, pharmacology.
• Knowledge of AMA and CMS coding conventions and rules.
• Proficient with electronic health records and Microsoft Office Suite.
• Strong data entry, verbal, and written communication skills.
• Understanding of fiscal policies of federal, state, and tribal programs.
• Culturally sensitive and able to maintain confidentiality.
• Ability to prioritize and perform tasks effectively.

Qualifications:

• Associate's Degree in Health Information Technology or Medical Coding.
• Two years of experience with ICD-10, HCPCS, and CPT coding.
• Must maintain current CPC, COC, CCS, CCS-P, CCA, RHIA, or RHIT certification.
• Must have valid New York State driver's license.
• Preferred experience in hospital, academic medical center, outpatient healthcare, or Indian Health Service/tribal health.