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Certified Professional Coder

Remote:

Full Remote

Work from:

United States

Offer summary

Qualifications:

High school diploma or equivalent, Certified Professional Coder (CPC) certification, Knowledge of ICD-10, CPT, and HCPCS coding systems, Prior experience in medical coding or billing roles.

Key responsabilities:

Review and analyze medical records for accurate codes
Maintain up-to-date knowledge of coding guidelines and regulations

A1advisor

2 - 10 Employees

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Job description

Overview

The Certified Professional Coder (CPC) plays a crucial role in the healthcare industry by ensuring that medical records are coded accurately for billing and insurance purposes. This position is essential for maintaining the financial health of medical practices and facilities while ensuring compliance with healthcare regulations. The CPC is responsible for translating healthcare services rendered into appropriate codes that dictate billing amounts. This requires thorough knowledge of medical terminology, anatomy, and coding systems. By utilizing coding software and manuals, the CPC embodies both the technical expertise and understanding of the healthcare landscape to improve revenue cycle management. Additionally, the CPC stays informed of the latest coding guidelines, updates, and policies to ensure the accuracy of coding practices. Their expertise not only supports the financial goals of the organization but also guarantees that patients' healthcare data is recorded correctly, allowing for efficient reimbursement for services rendered.

Key Responsibilities

Review and analyze medical records to assign accurate codes.
Utilize coding software and reference materials to ensure precise code assignment.
Identify relevant modifiers that may affect coding outcomes.
Maintain up-to-date knowledge of coding guidelines and industry regulations.
Perform coding audits to ensure compliance and accuracy standards are met.
Communicate with healthcare providers for clarification of diagnoses and procedures.
Provide training and support to staff on coding practices as required.
Assist billing departments in resolving discrepancies with insurance claims.
Monitor coding updates and trends to optimize processes.
Facilitate effective communication across interdisciplinary teams.
Prepare coding documentation and reports as needed.
Manage workflow efficiently, ensuring timely coding of encounters.
Stay abreast of changes in the healthcare industry affecting coding practices.
Participate in continuous professional education and certification renewal.
Support quality improvement initiatives in coding and billing procedures.

Required Qualifications

High school diploma or equivalent; bachelor’s degree in a related field preferred.
Current certification as a Certified Professional Coder (CPC) through AAPC.
Strong understanding of medical terminology and anatomy.
Proficiency in ICD-10, CPT, and HCPCS coding systems.
Knowledge of healthcare reimbursement and compliance issues.
Prior experience in medical coding or billing roles.
Excellent analytical skills and attention to detail.
Strong organizational and time management skills.
Ability to work independently and as part of a team.
Proficient in Microsoft Office Suite and coding software.
Exceptional communication skills, both written and verbal.
Capability to present coding information clearly to diverse audiences.
Familiarity with electronic health record systems.
Commitment to continuous learning and professional development.
Previous experience in a healthcare setting is advantageous.