Certified Coder

• Abstracts medical record documents to determine appropriate CPT procedure(s) and ICD-10 diagnosis


• Reviews physician notes and charts for accuracy


• Ensures coded services, provider charges and medical record documentation meet appropriate guidelines or standards


• Carefully reviews and corrects any charges posted by clinic staff while ensuring all services are accounted for and billed


• Identifies and optimizes revenue opportunities


• Works closely with departments to optimize reimbursement, ensure charge capture, reduce late charges and provide feedback to providers


• Follows the established industry standard and CMS coding guidelines to ensure proper billing of charges - includes CPT-4 and ICD codes as well as modifiers


• Posts, produces and sends all charges for invoice vendors


• Adheres closely to the department’s charge reconciliation process


• Posts any related payments and/or adjustments for surgery charges posted


• Makes changes to demographic information as necessary in order to produce a clean patient statement


• Performs all other assigned duties

• High School Diploma or GED required


• Certified Processional Coder (CPC) or Certified Coding Specialist (CCS) required


• 5+ years medical billing or coding experience


• Experience in Ophthalmology is a plus


• Active knowledge of CMS guidelines, contracted insurance guidelines and coding policies


• Demonstrated computer literacy, math skills, and excellent verbal and written communication skills


• Detail oriented, reliable and able to multi-task in a fast-paced, high-volume work environment


• 
  

  Ability to maintain a high level of confidentiality and professionalism 

  
  

Your health, happiness and your future matters! At AVP, we offer everything from medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays, PTO, Sick Time, opportunity for growth, and much more!