What are the responsibilities and job description for the Certified Medical Records Coder - Physician Billing Office position at St Peters Hospital?
The Certified Medical Coder is responsible for accurately assigning ICD-9 and CPT codes for clinic office visits, hospital services, laboratory, and radiology encounters, as applicable. This role ensures timely and compliant charge entry, monitors claim progress, and resolves coding-related denials in accordance with established guidelines, regulations, and payer requirements.
The Certified Medical Coder reconciles daily charge batches, reviews outstanding encounters, and collaborates with clinical and billing teams to ensure documentation supports accurate coding and reimbursement. This position also conducts audits of provider documentation and coding practices as assigned, contributing to continuous quality improvement and regulatory compliance. Additional duties may be assigned to support departmental operations.
KNOWLEDGE/EXPERIENCE: Knowledge of ICD-9-CM and CPT coding guidelines. Knowledge of anatomy and physiology, medical terminology and disease processes.
EDUCATION: High school diploma or GED preferred. Successful completion of advanced healthcare course work preferred. Approximately three to five years work experience in medical coding preferred. Has working knowledge of medical terminology, coding and insurance language.
LICENSE/CERTIFICATION/REGISTRY: RHIA, RHIT, AHIMA, AAPC or PMI required.