Researches and analyzes data needed for reimbursement. Analyzes medical records and identifies documentation deficiencies. Serves as a resource and subject matter expert to other coding staff. Reviews and verifies that documentation supports diagnoses, procedures, and treatment results.
The Certified Professional Coder is the second step in the medical career ladder and works in full compliance with all relevant claims reimbursement requirements while maintaining high ethical standards, strict confidentiality, and strong knowledge of laws and regulations related to the coding function.
Education and Experience
- High school diploma or equivalent
- 12 months of billing and coding experience
Certifications
- CPC certification from the American Academy of Professional Coders, or
- CCS certification from the American Health Information Management Association
- Certification must be maintained throughout employment
Skills and Abilities
- Working knowledge of current coding and billing requirements from Medicare, Medicaid, and other third-party payers
- Ability to apply and review diagnostic and procedural coding using approved coding tools and coding textbooks
- Ability to operate computer and software applications related to office requirements and revenue cycle management
- Ability to complete assigned workload accurately and dependably with minimal supervision
- Strong verbal and written communication skills
- Ability to analyze and solve problems effectively
- Ability to maintain accurate and retrievable files, records, audit trails, and trace transactions to original entries
- Ability to organize and prioritize work to meet deadlines and timetables
- Ability to work cooperatively and professionally with customers, staff, tribal government personnel, outside agency personnel, and vendors
- Valid driver's license and eligibility for tribal vehicle insurance
Location
Washington, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago