What are the responsibilities and job description for the Certified Professional Coder position at Baystate Ob/Gyn Group, Inc.?
Job Summary
BOGG (Baystate Ob/Gyn Group, Inc.), is seeking a highly skilled and detail-oriented full time Certified Professional Coder to join our in-person billing department team.
The ideal candidate will possess at least one year of CPC experience as well as comprehensive knowledge of medical coding standards and billing procedures, ensuring accurate and efficient coding for ob/gyn services provided both in office and in a hospital setting. This position requires the candidate to work onsite at our location in Springfield, Massachusetts, as remote work is not available.
As a Certified Professional Coder, you will play a vital role in translating clinical documentation into precise codes that facilitate billing, reimbursement, and compliance with regulatory requirements. Your expertise will contribute to the seamless operation of our medical office and support the delivery of quality patient care.
Required Certifications
- Active and ongoing Certified Professional Coder (CPC) certification is required.
Duties
- Review and analyze medical documentation to assign appropriate CPT and ICD-10 codes.
- Ensure accurate coding and claim creation for outpatient and inpatient procedures, diagnoses, and treatments in accordance with established guidelines.
- Collaborate with providers, billers, and staff to clarify documentation and resolve coding discrepancies.
- Maintain up-to-date knowledge of coding regulations, payer policies, and industry standards to ensure compliance.
- Utilize EMR/EHR systems effectively for coding and record management.
- Assist in medical billing processes by verifying codes for claims submission.
- Conduct regular audits of medical records to ensure accuracy, completeness, and adherence to coding protocols.
- Support ongoing training initiatives to keep the healthcare team informed about changes in coding practices and regulations.
- Adds or modifies patient and insurance demographics.
- Reviews posting of insurance payments for accuracy.
- Makes appropriate adjustments after claim/documentation review and transfer of balances when needed.
- May counsel patients regarding high deductible policies and expectations for payment.
- May process patient payments and refunds.
- Regularly follows up on outstanding accounts receivable especially when related to coding.
- Responsible for knowledge of insurance company policies and regulations that impact coding and claims processing.
- Answers inquiries from patients, insurance carriers, and staff regarding patient accounts and billings.
Skills
- Excellent organizational and time management skills.
- Competency in working with digital files.
- Ability to multitask with ease.
- Expertise with CPT and ICD-10 coding, medical billing, and clinical documentation review.
- Extensive knowledge of medical terminology.
- Experience working with EMR systems and Microsoft Office.
- Excellent attention to detail with the ability to interpret complex medical records accurately.
- Effective communication skills for collaborating with healthcare providers and billing teams.
- Prior experience in a medical office setting is highly desirable to understand workflow dynamics.
Salary commensurate with experience.
An excellent compensation/benefits package awaits the successful candidate! Benefits include:
- Rest & Recharge: Holidays, generous PTO that increases with longevity, plus a paid day off for your birthday!
- Comprehensive Health: Premium Medical, Dental, and Vision insurance options.
- Financial Security: 401(k) retirement plan, Life Insurance, and Disability coverage.
- Smart Savings: Medical and Dependent Care Flexible Spending Accounts (FSA).
- Our Culture: "Dress Down for Charity" Fridays and a supportive, professional atmosphere where you are truly valued.
Pay: $23.00 - $29.00 per hour
Benefits:
- 401(k)
- Paid time off
Work Location: In person
Salary : $23 - $29