Certified Coder reviews medical records to ensure proper billing and coding accuracy. The role participates in audits to evaluate whether selected codes are accurate and develops methods to improve coding issues identified. Coding must meet QA standards following Official Coding Guidelines and Risk Adjustment Guidelines.
Requirements & Qualifications
Qualifications
- CPC certification required through AAPC
- High school diploma or GED
- At least 1 year of previous medical billing experience
- Previous primary care experience preferred
- In-depth knowledge of medical terminology, anatomy, physiology, disease processes, and ICD-10-CM classification systems
- Ability to read and analyze patient records to determine accurate medical codes for billing
- Ability to code using an ICD-10-CM code book without an encoder
- Strong clinical knowledge related to chronic illness diagnosis, treatment, and management preferred
- Excellent written and verbal communication skills
- Strong interpersonal, customer service, organization, analytical, and time management skills
- Detail-oriented, well organized, reliable, and able to work in a fast-paced team environment
- Computer proficiency, including MS Windows, MS Office, and the Internet
- Knowledge of HIPAA, privacy, security, and confidentiality requirements
- Working knowledge of insurance collections, insurance verification, and follow-up activities to get claims paid
- Ability to lift up to 50 pounds
- Ability to push or pull heavy objects up to 50 pounds
- Ability to sit or stand for extended periods
- Ability to use fine motor skills to operate office equipment
- Ability to comprehend verbal and written instructions
- Ability to use logical reasoning for simple and complex problem solving
- Ability to travel to multiple locations as needed
Location
Georgia, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
2 weeks ago
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