What are the responsibilities and job description for the Certified Coder position at Red Oaks Medical Group Inc?
Are you Compassionate, Collaborative, Respectful and strive for Excellence?
If so, you share our CORE Values and we invite you to join our team as a Business Office Representative.
Certified Coder
Location:
Onsite
Reports to:
Business Office Manager
Organizational Peers:
Business Office Personnel
Direct Reports:
N/A
Position Details:
Non Exempt, Full Time, M-F, 40 hours a week
Pay Range: $25.75-33.99/hour
Job Summary:
Responsible for precise and accurate translation of patient medical records into CPT, ICD-10-CM, and HCPCS codes within an office environment as well as conducting provider audits.
Essential Job Responsibilities:
- New Clinician Audits
- Clinician audits for correct coding and optimal reimbursement (Random Audits)
- Provider education to clinicians with coding/documentation
- Reports quarterly on Bell Curves
- Possesses expertise in ICD-10, CPT, and HCPCS codes, as well as HIPAA regulations and LCD/NCCI edits.
- Responsible for Work Lists in EMR-
- Coding claim edits/denials
- Follow Official Coding Guidelines
- CMS and AMA rules
- National Correct Coding Initiative (NCCI) edits
- Local Coverage Determinations (LCDs)
- Official Guidelines for Coding and Reporting
- Maintain a compliance program
- Policies & Procedures
- Compliance Officer
- Training
- Monitoring & Auditing
- Reporting Systems
- Response & Prevention
- Report upcoming CPT and ICD-10 changes
- Complies with all company policies and procedures.
- Provides back up and support to team members as necessary.
- Maintain CE (Continuing Education) certificates, copies to manager
- All other duties as assigned by the Business Office Manager
Performance Requirements:
Knowledge:
- Knowledge of billing practices and clinic policies and procedures.
- Knowledge of coding and clinic operating policies.
- Knowledge of medical terminology.
- Knowledge of insurance industry.
- Knowledge of grammar, spelling, and punctuation.
Skills:
- Skill in establishing and maintaining positive, effective, internal and external working relationships.
- Skill in written and verbal communication.
- Skills in organization.
Abilities:
- Ability to understand and interpret policies and regulations.
- Ability to prepare documents in response to complaints and inquiries.
- Ability to accurately enter data.
- Ability to examine documents for accuracy and completeness.
- Ability to read, understand, and follow oral and written instruction.
- Ability to sort and file materials correctly by alphabetical or numeric system.
- Ability to communicate effectively and work with others.
- Ability to multitask.
Education: AAPC or AHIMA Certification. Must maintain yearly continuing education requirements.
Experience: Preferred minimum of one year billing/coding experience in health care organization.
I am able to perform these tasks without accommodation. _____Yes _____No
If no, list required accommodations:
I have read and understand the above job description, and I accept all the responsibilities of the position.
____________________________________ ___________________
Employee’s signature Date
Responsibility for Review and Maintenance:
Date Initiated: 2009
Date Revised: 10/2025
Salary : $26 - $34