Certified Medical Coder

Roles and responsibilities

• Translate doctor's notes and medical records into universal codes used by insurance companies and healthcare systems
• Make sure healthcare services are coded accurately so that billing is correct and providers get paid properly
• Use your knowledge of medical terms and guidelines to ensure everything is precise and compliant
• Play a crucial role behind the scenes in making the healthcare billing process work smoothly
• Adhere to and maintain required levels of performance in both Coding accuracy and productivity. Abstract additional data elements during the Chart Review process when coding
• Identify appropriate assignment of CPT and ICD-9 Codes for Physician and facility services provided in an Observation service setting, and Inpatient setting. Provide documentation feedback to Providers
• Maintain up-to-date Coding knowledge by reviewing materials disseminated/recommended by the QM Manager, Coding Operations Managers, and Director of Coding/Quality Management, among others

Qualifications

• With active AHIMA or AAPC Medical Coding Certification (CPC-A, CPC, CIC, CCS, COC)
• Experience in coding from paper charts as well as EMR
• Understanding of ICD-9 or ICD-10 Coding in relation to HCC/Risk Adjustment Coding
• Onsite attendance is required during training; Hybrid work arrangement thereafter