Certified Professional Coder

Education and Knowledge

• High school degree or equivalent

• Specialized training: CPC or CCS-P designation

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Experience

• 2 - 5 years functional coding experience
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Skills and Abilities

• Ability to code eighteen to twenty charts per hour with a 95% or higher accuracy rate.

• Ability to research and analyze data, draw conclusions and resolve issues; read, interpret, and apply policies, procedures, laws and regulations.

• Proficient and thorough understanding of Medical Terminology with advance knowledge of medical codes involving selection of the most accurate and descriptive code using the CPT codes for billing of third party resources.

• Strong organizational and time management skills with the ability to prioritize heavy workload in a constantly changing environment.

• High computer literacy with the ability to access and utilize multiple information system applications with ease and efficiency.

• Strong communication skills with the ability to communicate effectively internally and externally.

• Ability to establish and maintain collaborative working relationships with clients, coworkers and peers.

• Skill in correlating generalized observation/symptoms to a stated diagnosis to assign the correct code.

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Key Responsibilities and Accountabilities

• Evaluates medical record documentation and coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support the visit, and to ensure that data complies with legal standards and guidelines.

• Assures codes are supported by provider documentation and initiates queries based upon other clinical documentation for accurate and reliable data collection and reimbursement.

• Identifies and corrects potential coding issues and seeks clarification of conflicting, ambiguous, or non-specific documentation prior to assigning codes.

• Adheres to use of audit worksheets for coding.

• Responsible for enrolling in continuing education courses to maintain certification.

• Responsible for maintaining knowledge of the official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes by reviewing bulletins, newsletters, periodicals and attending workshops.

• Respects and protects the confidentiality of all patient, client and Company information.

• Assumes other responsibilities as requested.​