Certified Professional Coder - Apprentice bei None

Job Title: Certified Professional Coder – Apprentice  

Reports To: Auditing and Coding Manager   

GENERAL SUMMARY OF DUTIES:

Under the direction of the Auditing and Coding Manager, the Certified Professional Coder – Apprentice is responsible for accurately assigning medical codes to diagnosis and procedures based on providers documentation while ensuring compliance with coding guidelines and supporting the billing and reimbursement process.  This is a full-time position, working 40 hours per week with generous benefits and a competitive compensation package.

Essential Job Functions: 

• Will process incoming medical records requests from insurance companies.
• Ensure timely completion of requests within designated time frame.
• Review of hospital reports to verify appointments are created and claims are accurately billed in a timely manner. 
• Assigns CPT, ICD-10, HCPCS and modifiers based on clinical documentation and payer requirements.
• Collaborate with healthcare providers to clarify unclear or incomplete documentation.  
• Works with medical and billing staff to resolve coding issues and associated problems.
• Maintains strict confidentiality and follows HIPAA guidelines.
• Support internal audit processes by providing documentation and clerical support
• Work closely with other coders, billers, administrative assistants and providers to ensure smooth workflow and communications.  
• Additional duties assigned by the Manager to meet department needs.  

Requirements: 

• High school diploma or GED required. 
• Certified Professional Coder (CPC-A) credential from the AAPC (American Academy of Professional Coders) is required. 
• Post-secondary coursework or diploma in medical coding, health information management or a related field (preferred). 
• Maintains coding certification and attends in-service training as required.
• Knowledge of coding policies and procedures, reimbursement practices. 
• Knowledge of anatomy, physiology, and medical terminology.
• Knowledge of health insurance processing and clinic operating policies. 
• Skill in using Athena, Epic, and MDaudit 
• Skill in identifying and resolving problems.
• Ability to work effectively with co-workers. 
• Ability to communicate effectively and clearly.
• Must be able to travel to all sites if/when necessary.