Certified Coder
Job Description
Job Description
Job Description:
Remote work after 90 days
AAPC sponsored CPC or the AHIMA sponsored CCS certification is a requirement for this Certified Coder position.
This position is responsible for reviewing physicians’ documentation and assigning accurate CPT, ICD-9, and ICD-10 diagnosis and procedure codes to support compliant reimbursement and claim processing. The Certified Coder ensures that coding practices align with established guidelines, third-party payer requirements, regulatory standards, and accreditation expectations.
Responsibilities
- Review clinical documentation and assign accurate diagnosis and procedure codes for reimbursement.
- Analyze and abstract medical record information to support consistent coding and billing outcomes.
- Resolve coding discrepancies and respond to coding-related inquiries.
- Review and correct rejected claims from third-party payers.
- Maintain account records, pending reports, and coding-related tracking systems.
- Monitor record requests, open encounters, and related account activity.
- Support compliance with coding guidelines, reimbursement policies, and regulatory requirements.
- Perform CLIA renewal tracking and other administrative coding support tasks as assigned.
Qualifications
- AAPC CPC or AHIMA CCS certification required.
- Associate’s degree required, or five years of relevant experience in lieu of a degree.
- Working knowledge of coding requirements, CPT, ICD-9, ICD-10, and reimbursement guidelines.
- Strong written and verbal communication skills.
- Highly organized with the ability to manage multiple priorities and deadlines.
- Proficiency in Microsoft Office, especially Word and Excel.
- Ability to work independently, maintain confidentiality, and adapt to changing priorities.
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