CERTIFIED CODER

Description

The team member performs highly technical and specialized functions for the Business Office.  The team member reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments.  The primary function of this position is to perform ICD-10-CM, CPT and HCPCS coding for reimbursement.  The coding function is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.

Requirements

MINIMUM EDUCATION & EXPERIENCE

• High School education or GED required.
• Must have and maintain Certified Professional Coder (CPC) certification through AAPC or must have and maintain CCA, CCS or CCS-P certification through AHIMA.
• Three years direct coding experience and in depth Coding and HIPAA regulations for physician offices, preferred.