Certified Coder

Certified Coder Overview

• As a Certified Coder, ensure accurate CPT and ICD coding compliance for healthcare documentation.
• Collaborate with teams to resolve coding discrepancies and optimize reimbursement processes.
• Maintain and review IDX account records and encounter files for coding accuracy.
• Support accreditation guidelines and regulatory compliance in medical coding practices.
• Perform technical assignments related to coding and documentation analysis.
• Contribute to the renewal and validation of compliance files and records.
• Provide expertise in coding standards and utilize Microsoft Office tools effectively.
• Enhance healthcare operations by ensuring coding precision and compliance.

Certified Coder Key Responsibilities & Duties

• Assign and enter accurate diagnoses and procedure codes for reimbursement purposes.
• Resolve coding discrepancies and rejected claims from third-party carriers efficiently.
• Monitor TES Open Encounter files to ensure coding accuracy and compliance.
• Support the renewal and management of compliance files and accreditation guidelines.
• Perform account maintenance and ensure adherence to coding regulations.
• Collaborate with management and teams to address coding challenges effectively.
• Utilize Microsoft Office tools for documentation, reporting, and coding tasks.
• Contribute to the optimization of coding processes and healthcare documentation.

Certified Coder Job Requirements

• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification required.
• High School Diploma or GED; Associate’s degree preferred.
• Minimum of 3 years of relevant coding experience; 5 years preferred.
• Proficiency in Microsoft Word and Excel for coding documentation and reporting.
• Excellent written and verbal communication skills for effective collaboration.
• Strong organizational skills and attention to detail in coding tasks.
• Knowledge of CPT, ICD-9, and ICD-10 coding standards and guidelines.
• Ability to work on-site with potential for remote work after initial period.