Certified Coder

JOB TITLE: Certified Coder

FLSA: Non-Exempt

REPORTS TO: Billing Office Manager

COMPENSATION:

• Hourly Range: $21.00 - $30.00 (based on experience)
• Medical benefits including vision and dental (dependent upon job status)
• 401k profit sharing plan eligible after one year and 1,000 hours
• Paid holiday, vacation, and personal leave

ENVIRONMENT: Outpatient, clinical care setting.

GENERAL SUMMARY OF DUTIES: Evaluates medical records and charge tickets to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-10-CM), and the American Medical Association's Current Procedural Terminology manual (CPT)

DUTIES PERFORMED: The duties and responsibilities of a Medical Coder vary from one healthcare facility to another. The main duty of a Medical Coder is assigning codes to medical procedures and diagnoses. Other duties and responsibilities of a Medical Coder include:

• Constantly makes sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations
• Constantly reviews and complies with medical coding guidelines and policies
• Constantly receiving and reviewing patients’ charts and documents for verification and accuracy
• Frequently following up and clarifying any information that is not clear to other staff members
• Frequently implements strategic procedures and choosing strategies and evaluation methods that provide correct results
• Frequently analyzing and identifying the medical procedures, diagnoses or events that lead to the negligence
• Occasionally conduct medical record audits when necessary
• Performs other duties as assigned.

PERFORMANCE REQUIREMENTS:

• Knowledge of billing practices and clinic policies and procedures.
• Knowledge of coding and clinic operating policies as well as knowledge of working with insurance vendors.
• Ability to prepare records in accordance with detailed instructions
• Ability to handle confidential and sensitive information.
• Excellent verbal and written communication skills
• Skill in greeting patients and answering telephone in a pleasant and helpful manner
• Excellent interpersonal and customer service skills
• Excellent organization skills and attention to detail
• Ability to function well in a high-paced and at times stressful environment
• Ability to understand and effectively work in Microsoft Office, practice management systems, and electronic medical record system.
• Ability to organize and prioritize work and manage multiple priorities.
• Ability to work independently with minimal supervision.
• Ability to establish and maintain effective working relationships with providers, management, staff and contacts outside the organization.