Certified Professional Coder

We are seeking a detail-oriented and experienced Certified Professional Coder to join our rheumatology practice. The ideal candidate will be responsible for accurately coding patient encounters, procedures, and diagnoses to ensure proper billing and reimbursement.

This position will be in office during training and may be eligible for work from home depending on training completion.

Essential functions

• Review and analyze medical records, including physician notes, lab results, and diagnostic reports, to assign appropriate CPT, ICD-10, and HCPCS codes.
• Ensure coding compliance with federal regulations, insurance company policies, and best practices.
• Conduct regular internal audits to identify and correct coding discrepancies and compliance issues.
• Work closely with the billing team to submit clean claims and resolve coding-related denials or rejections.
• Provide documentation support to the collections team for appeals and complex claims.
• Stay current with coding guidelines, payer policies, and industry regulations.
• Serve as a coding resource for providers and clinical staff.
• Educate providers on coding guidelines and documentation best practices.
• Maintain strict confidentiality of all patient information in accordance with HIPAA regulations.
• Collaborate with the team to support efficient revenue cycle management.
• Perform other administrative and clerical tasks as needed.