The Certified Professional Coder (CPC) / Uncertified Coder is responsible for reviewing, researching, and accurately coding office, surgical, and procedural documentation.

This role ensures proper assignment of CPT, ICD-10, and HCPCS codes in compliance with CMS guidelines and supports accurate billing, reimbursement, and regulatory adherence while collaborating with providers and administrative staff.

Primary responsibilities include:

Accurately assign CPT, ICD-10, HCPCS codes, and modifiers based on provider documentation.
Ensure coding, charges, and documentation comply with applicable guidelines and standards.
Review and resolve A/R queues, denials, and coding-related errors in a timely manner.
Collaborate with providers and staff to clarify documentation and resolve coding issues.
Provide feedback and education to providers regarding coding requirements and updates.
Stay current with CMS guidelines and insurance billing requirements.
Review third-party reimbursements to ensure proper coding and payment accuracy.
Meet established productivity and month-end performance requirements.
Maintain professional communication and represent the organization in a courteous manner.
Adhere to HIPAA, OSHA, and organizational policies and procedures.
Participate in ongoing education opportunities, including webinars and certification training.
Perform other duties as assigned to support department and organization success.

Working conditions:

Primarily performed in a clinical office setting involving frequent communication with patients and staff.
Possible exposure to common medical practice conditions such as communicable diseases, bodily fluids, and chemical substances.
Physical demands include walking, bending, reaching, lifting up to 20 pounds, stooping, assisting patients, and prolonged sitting.
Overtime may be required as needed.

Certified Coding Specialist - Internal and Family Medicine