Certified Professional Coder

This is a fully remote position, open to applicants in United States.

📋 Description

• Analyze clinical documentation to accurately assign diagnostic and procedural codes for both inpatient and outpatient medical records in accordance with the relevant classification system.

• Ensure the precise, timely, and appropriate allocation of ICD-10, CPT/HCPCS codes, and modifiers for billing purposes, as well as for internal and external reporting, research, and compliance with regulatory and payer standards.

• Oversee documentation turnaround times and productivity, while following up on deferred accounts or coordinating with physicians and other clinical staff as necessary.

• May be responsible for generating reports and/or analyzing data concerning evaluation and management code usage, CPT code application, denials, and reimbursement as per contracted terms, among other areas.

• Offer coding feedback to providers, clinical department leaders, and the revenue cycle team.

• Address coding and documentation challenges with revenue cycle leadership and assist in facilitating corrective action plans.

• Aid in the design and implementation of workflow enhancements and coding tools.

• Provide support to the denial team regarding coding-related denials.

• Assist the Coding Manager with physician education initiatives.

• Perform any additional duties as assigned.

⛳️ Requirements

• Certified Professional Coder (CPC) or Certified Coding Specialist- Physician Based (CCS-P) certification is required.

• Certified Outpatient Coding (COC) certification is a plus.

• A minimum of three (3) years of coding experience in Podiatry and/or foot and ankle orthopedic surgery; experience in wound care is advantageous.

• Familiarity with federal, state, and payer-specific regulations and policies relevant to documentation, coding, and billing, with a proven ability to interpret these guidelines.

• Exhibits advanced knowledge and skills in analyzing patient records to identify discrepancies in CPT, ICD-10-CM, and HCPCS code assignments.

• Demonstrates a commitment to ongoing professional development.

• Proficient in Excel, Word, data entry, and computerized healthcare billing software; experience with Modernizing Medicine or EClinical Works is a plus.

• Possesses excellent verbal and written communication skills.

• Strong touch-typing skills are essential.

• Ability to maintain focus for extended periods.

• Capable of managing multiple priorities and projects effectively.

• Excellent time management skills are required.

• Demonstrates the ability to lead by example.

🏝️ Benefits

• Medical

• Dental

• Vision

• Life Insurance

• Flexible Spending Account

• Healthcare Spending Account

• 401(k) Matching

• Paid Time Off

• Training Provided

• Pet Insurance