Coder - Certified

Reporting to the coding manager, the medical coder is responsible for review clinical documentation to abstract and/or validate CPT and ICD-10 coding for inpatient and outpatient professional services. The coder will ensure that medical records are coded in an accurate and timely manner as well as work closely with physicians to consistently and accurately translate clinical documentation and medical records into ICD-10 and CPT codes. Through these efforts, the individual within this role will identify and report error patterns, resolve errors or issues associated with coding and billing processes, and when necessary, assist in the design and implementation of workflow changes to reduce billing errors.

Certified Professional Coder (CPC) or Certified Coding Specialist- Physician Based (CCS-P) required;

A minimum of two (2) years of coding experience, Prior experience in an academic institution preferred

Knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing, with demonstrated ability to interpret such guidelines.

Demonstrates an advanced knowledge and skill in analyzing patient records to identify non-conformances in CPT, ICD-10-CM and HCPCS code assignment by passing a department administered coding proficiency test.

Demonstrates commitment to continuous learning.

Strong communication and organizational skills.

Proficient in Excel, Word, Data Entry, computerized health care billing software knowledge