Certified Coder

The Certified Coder reviews CPT HCPCS and ICD-10 coding for Physician visits and procedures. This position assures that proper documentation is present to support the codes submitted for reimbursement. The Certified Coder reviews claims prior to submission to ensure necessary modifiers are included to provide optimal reimbursement. The responsibilities also include assisting the Insurance Claims Specialists with filing appeals when needed and the Patient Account Representatives when patients may have questions related to coding.

• Full-Time/Benefits Eligible
• Monday-Friday - 8a-5p
• Westerville OH

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

Review physician progress notes for necessary documentation prior to locking of notes.

Work claims prior to submission toensure that the codes are correct and necessary modifiers have been appended.

Work actions from sites and other teams in Revenue Cycle to assist in coding queries.

Assist Physicians in learning how to do correct coding.

Act as resource to Physicians and Revenue Cycle team on coding related questions and issues.

Participate in education activities such as courses and seminars both within the company and outside.

QUALIFICATIONS:

Preferred: Minimum 1 year of experience as a certified coder

Education Licensures & Certifications

Required: High School diploma or GED

Required: Certification from either AAPC or AHIMA for Medical Coding

Required: Maintain coding certification

Knowledge Skills & Abilities

Extensive knowledge of CPT ICD-10 and HCPCS coding

Ability to demonstrate a high level of confidentiality

Ability to learn and use new software programs

Ability to examine documents for accuracy and completeness

Ability to communicate both verbally and written clearly and precisely

Working knowledge of Microsoft Teams Word Excel and Outlook

Self-motivated with the ability to work independently or as a team member

Required Experience:

IC