Certified Professional Coder
- Job Title
- Certified Professional Coder
- Job ID
- 27038809
- Location
- Nashville, TN 37205
- Other Location
- Description
-
Job Purpose:
The Certified Professional Coder assists in generating revenue by assigning and monitoring the coding and reimbursement activities for professional and technical services provided within a group of specialty areas.
Essential Functions:
- Direct assigning of ICD-9 and ICD-10 codes by analyzing patient medical records.
- Ensure documentation by providers conforms to legal and procedural requirements.
- Consults with follow-up team prior to assigning claims to the appeals department for disputed / denied claims.
- Provides feedback/training for physicians and staff in with any coding insufficiencies.
- Assisting with research of denied claims.
- Applies modifiers, checks CCI edits and assists with charge entry.
- Aware of governmental regulations, protocols and third party requirements in reference to coding principles.
- Maintain a working knowledge of EMR, the registration process and charge entry.
- Ability to work effectively with providers and co-workers.
- Regular attendance and punctuality.
- Contributes to team effort by accomplishing related results as needed.
- Ensures that all processing and reporting deadlines are consistently achieved.
- Perform any other functions as required by management.
Qualifications and Education Requirements:
- Certification in CPC, CHONC or specialty coding with one to three years experience directly related to coding and reimbursement for physician services.
- Educational requirements: BS in related field of study preferred.
- Attention to detail and the ability to organize information and tasks are essential.
- Knowledge of current and developing issues and trend in medical coding procedures and requirements.
- Working knowledge of ICD-9 and ICD-10 diagnosis codes, HCPCS, and CPT coding assignment.
Preferred Skills:
- Knowledge of medical terminology.
Required Competencies:
Ability to work in a team environment and enjoy multi-job functions. Strong Business and Organizational Competence. Exceptional Customer Service Skills. Strong functional Competence. Interpersonal Skill Competency. Stress Tolerance. Initiative. Adaptability. Accountability. Integrity. Self-Confidence. Time Management Skills with an emphasis on multi-tasking.