The Certified Professional Coder Consultant reviews medical records, verifies coding accuracy, and prepares summaries of findings. The role also supports education and consultation for clients and staff, serving as a coding resource for billing staff.
Key responsibilities include:
- Abstracting clinical information from medical records and assigning appropriate CPT and ICD-10 codes using industry-standard coding guidelines
- Maintaining current knowledge of coding and documentation requirements
- Sharing and presenting CPT and ICD-10 updates to staff and clients
- Assisting staff with coding questions
- Performing coding audits at client offices, including chart audits, billing reviews, workflow analysis, and on-site billing support
- Educating providers and staff on documentation and coding guidelines to support compliance with state and federal regulations
- Providing actionable recommendations to improve documentation and coding accuracy
- Supporting lead generation for consulting services
- Completing internal audits for the compliance team
- Traveling within the state to client locations
- Testifying in audit-related litigation when needed
- Supporting clients in a courteous and efficient manner
- Meeting performance goals and maintaining effective use of company technology, paperless systems, tools, and processes
Requirements & Qualifications
Qualifications
- Associate degree in Business Administration or equivalent education and work experience
- AAPC Certified Professional Coder (CPC)
- Ability to code conditions and procedures using ICD-10-CM and CPT
- Knowledge of medical terminology and anatomy
- Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems
- Proficiency with computer systems, software, and a 10-key calculator
- Effective communication skills for working with insurance payers
- Strong customer service skills for interacting with patients and family members
- Ability to work effectively in a team environment
- Problem-solving skills to research and resolve discrepancies, denials, appeals, and collections
- Knowledge of accounting and bookkeeping procedures
- Strong communication and presentation skills
- Proven relationship-building skills with clinical and non-clinical personnel
Preferred qualifications
- Certified Professional Medical Auditor (CPMA) certification
- Willingness to pursue learning and development opportunities
- Ability to adapt to changing priorities and circumstances
Leadership and technology
- Reports to a direct supervisor
- Must be action-oriented and able to complete tasks independently
- Experience with Microsoft Office
- Familiarity with medical billing workflow software
- Ability to learn and stay current on new technology
Benefits & Perks
Competitive salary, generous PDO and paid holidays, medical/dental/vision plans, bonuses, referral programs, life insurance, 401(k) plan, community service opportunities, dress-for-your-day attire, continuous feedback, team retreats, office and Zoom parties, and sports team activities.
Location
Michigan, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 month ago
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