Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) needed to perform quality review and analysis of patient medical records and ensure accurate coding in accordance with accepted medical and legal standards.
Responsible for reviewing physician-selected CPT, HCPCS, and ICD-10-CM codes against documentation to support the level of coding for outpatient specialty encounters, including E/M clinic visits, infusion services, procedures within specialty practices, and related infusion therapy suites.
The role also involves abstracting additional data elements, supporting claim accuracy and billing to payers, creating accounts and entering charges as needed, and assisting with regulatory reporting.
Qualifications
- Associate degree in Health Information Administration preferred
- 1 year of outpatient coding preferred
- Apprentice status welcome to apply
Certification
- Must obtain CPC or CCS certification within 6 months of hire
- Failure to obtain certification may result in termination
Core responsibilities
- Assign codes according to regulatory guidelines
- Query physicians for missing documentation when needed
- Ensure accounts are not finalized until documentation responses are received
- Abstract required data elements for regulatory reporting
- Review records for additional information needed for claim submission
- Apply occurrence codes when not captured at admission
Location
Georgia, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
1 month ago