Certified Coder

Primary Objective

The Certified Coder is primarily responsible for ensuring correct coding guidelines including CPT ICD-10 modifier and carrier specific guidelines.

Essential Functions

• Working assigned coding work queues.
• Assigning CPT HCPCS ICD-10 codes.
• Examining documents for missing information.
• Communicating with providers as needed.
• Performing chart audits.
• Informing manager of payer-specific coding issues.
• Requesting hospital-based notes.
• Ability to meet the physical and mental demands of the position.
• The ability to work on-site.
• Predictable reliable and prompt attendance.

Skills and Abilities

• Understanding of CPT ICD-10 and modifiers.
• Understanding of payer policy pertaining medical and reimbursement policies.
• Detail orientation.
• Excellent customer service skills; communicating clearly and effectively.
• Ability to multitask and remain focused while managing a high-volume time-sensitive workload.
• Computer skills including Excel Word and internet.

Core Competencies

• Attention to Detail
• Multi-Tasking & Adaptability
• Critical Thinking

• Follow up

Clinical Competencies

N/A

Training Period

90 days of training within the EPIC system major insurance websites OnBase Scanning system and Assurance

Accountability

Our mission is to be the premier eye ear nose and throat group providing comprehensive quality and ethical healthcare to all in the Carolinas; to provide a favorable environment for the delivery of healthcare; and to provide for the wellbeing of the physicians and the employees of Charlotte Eye Ear Nose & Throat Associates P.A.

Education

High School Diploma or GED

Experience

• 3 Years of medical experience in either a physician practice or hospital setting.
• 1 year of coding experience required; 2 years of coding experience preferred.
• Experience in Ophthalmology and/or Otolaryngology preferred but not required.

Certificates Licenses Registrations

Coding Certification through AAPC or AHIMA (CPC COC CCS-P CCS or equivalent) required.

Work Environment

The work environment characteristics described are representative of those an employee may encounter while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Work is remote so employee should have discipline to work alone and have a dedicated workspace with high-speed internet which offers HIPAA compliance and room large enough for two monitors.

Supervisory Responsibilities

N/A

Position Type and Expected Hours of Work

Full-time 40 -hour weekly position Monday -Friday. The hours may range between 7:00a.m. and 6:00p.m.

Physical Mental and Other Requirements

The physical and mental demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical Demands: Sitting in front of computer for long hours.

Mental Demands: Ability to problem solve to work under pressure to interpret data.

Other Requirements:

• Active & Current Drivers license
• Clean driving record
• Consistent and Reliable Transportation
• Polite and professional disposition

Travel

N/A

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required of the employee for this job. In addition to those essential functions identified above individuals in this position are also responsible for performing other duties or tasks that may be assigned. CEENTA retains the discretion to ad or change the essential job functions of this position at any time without notice.

A Typical Day in the Position

Typical responsibilities include but are not limited to monitoring assigned coding work queues contacting payers for updates and appeals on coding related denials addressing emails/in-baskets addressing voicemails communicating as needed with providers. Certified Coders are resources to providers and their clinical staff Business Office or other departments who have coding specific questions. Certified Coders will perform provider audits on an ad-hoc basis.