The Certified Professional Coder ensures coding compliance for services performed by physicians and non-physician providers, adhering to government regulations and coding guidelines. Responsibilities include performing documentation and coding data audits, medical record review, identifying documentation deficiencies and querying providers, educating and training professionals in coding, researching and correcting coding discrepancies, assigning accurate CPT, HCPCS, and ICD codes, ensuring proper code sequencing, reviewing for medical necessity, assisting with policy development and updates, integrating coding and reimbursement rule changes, participating in meetings related to coding updates, and serving as a subject matter expert.
- CPC Certification required
- COC and CPMA Certifications preferred
- Minimum 4 years of experience in documentation review and coding compliance in healthcare, preferably in an FQHC setting
- Strong knowledge of physiology, medical terminology, and anatomy
- Proficiency in CPT, HCPCS, ICD-10 coding
- Knowledge of Medicare, Medicaid, Managed Care coding guidelines and regulations
- Experience with eClinicalWorks EHR preferred
- Strong analytical and computer skills
- Excellent customer service and collaboration skills
- Familiarity with SRCH standards and protocols
Location
California, US
Employment Type
Full-time
Experience Level
Senior
Salary Range
$70,304 - $77,900
Remote work allowed
No
Posted
2 weeks ago