What are the responsibilities and job description for the Certified Coder position at Dynamic Wound Care?
Department: Accounting
FLSA Status:
REPORTING RELATIONSHIP
Reports To: Controller
JOB SUMMARY
The Certified In-house Coder is responsible for the accurate assignment of diagnostic and procedural codes to patient encounters for data retrieval, analysis, and claims processing. This position ensures compliance with all federal and state regulations, including CMS guidelines and payer requirements, to facilitate timely and accurate billing to ensure reimbursement for services provided.
QUALIFICATIONS
Education:
· High school diploma or equivalent required.
· Associate degree in Health Information or related field is strongly preferred.
Certifications:
· Active certification from a recognized accrediting organization is required such as
AHIMA or the AAPC (e.g., CPC, CCS, RHIA, COC, or CIC).
Knowledge/Skills/ Abilities:
· Proficiency in ICD-10, CPT, and HCPCS coding systems.
· Experience with medical billing software and Electronic Health Record (EHR) systems.
· Strong computer skills, including Microsoft Office (Word, Excel).
Experience:
· 2-3 years of medical coding experience in medical coding or outpatient setting required.
· Specific experience in a wound care clinic or long-term care environment preferred.
Key Responsibilities
- Review patient medical records and clinical documentation to assign accurate ICD-10-CM, CPT, and HCPCS codes for diagnoses, procedures, and treatments rendered.
- Code independently from clinical notes without relying on a superbill, utilizing the medical record as the primary source of truth.
- Ensure the correct application and sequencing of codes according to official coding guidelines (e.g., AHA Official Coding Guidelines).
- Code specialized wound care products, such as cellular tissue/red-label products, ensuring proper documentation of lot numbers and application details.
- Query physicians or other healthcare providers when documentation is inadequate, ambiguous, or unclear for coding purposes, obtaining necessary clarification.
- Collaborate with the billing team to correct coding errors, resolve claim rejections and denials, and manage accounts receivable.
- Monitor and stay current with payer and CMS updates impacting wound care coding, documentation, and compliance.
- Conduct regular coding audits to ensure accuracy and compliance and assist in training providers on documentation improvement.
- Maintain coding accuracy and productivity standards in adherence to compliance regulations
Pay: $20.00 - $25.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Referral program
- Vision insurance
Work Location: In person
Salary : $20 - $25