Certified Professional Coder (CPC)

Overview
Join our healthcare team as a Certified Professional Coder (CPC), where your expertise in medical coding and billing will play a vital role in ensuring accurate and efficient processing of medical records. As a CPC, you will be responsible for translating healthcare services into standardized codes, facilitating seamless communication between healthcare providers, insurance companies, and patients. Your attention to detail and thorough understanding of medical terminology and coding systems will directly impact the quality of patient care and reimbursement processes. This role offers a great opportunity to apply your coding skills in a fast-paced environment dedicated to excellence .

Duties

• Commercial claims processing
• Reviewing charts before sending out and then working payments and denials post-processing.
• Records review to maximize the quality of coding
• Communicate with the providers when needed for missing, or non-specific information that is present in the health record
• Assure compliance with coding rules and regulations according to regulatory agencies for Center for Medicare Services (CMS)
• Performs accurate and timely charge entries into billing software
• Stays up to date with coding changes
• Informs management of trends identified through the review and validation process
• Ensure clean claim submissions
• Work with insurance companies for reports, denials, and re-submission of claims
• Identify and troubleshoot billing, coding, and payer issues
• Attends office meetings as necessary to provide information relating to coding and compliance
• Performing medical coding of encounters and reviewing medical codes for adherence to risk adjustment models
• Daily audits of medical record data pre and post patient visit to ensure accuracy will be performed
• Make recommendations according to regulations and your employer’s operational policies
• Report the results of an audit to the relevant supervisor or coding service provider
• Have overall proficiency with revenue cycle workflows
• It is your job to ensure compliance with rules related to patient privacy and electronic medical record keeping
• Always demonstrate service excellence

Qualifications

• Certified Professional Coder (CPC) credential from the American Academy of Professional Coders (AAPC) or equivalent certification
• Proven experience in medical coding, including CPT coding, ICD-9/ICD-10 coding, DRG assignment, and medical records review
• Strong knowledge of medical terminology, anatomy, physiology, and healthcare documentation standards
• Familiarity with EMR/EHR systems used for medical record management and coding purposes
• Experience with medical billing, collections, and insurance claim processes
• Excellent attention to detail with the ability to interpret complex clinical documentation accurately
• Effective communication skills for collaborating with healthcare providers and insurance representatives

Join us to leverage your coding expertise in a role that is essential to delivering high-quality healthcare services.

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Work Location: In person