Certified Medical Coder Jobs

The Certified Coder II assigns diagnosis and procedure codes to more complex specialties utilizing International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System HCPCS) codes.

Typical Duties:

• Assigns and verifies codes utilizing ICD 10, CPT, and HCPCS codes in accordance with ICD 10 Diagnosis Coding, CPT Procedure Coding Guidelines and the Acclaim Coding Procedures according to the practitioner’s documentation.

• Confirms codes are sequenced correctly ensuring reimbursement is appropriate in accordance with government, insurance, and/or other payer regulations.

• Confirms codes are sequenced correctly ensuring reimbursement is appropriate in accordance with government, insurance, and/or other payer regulations for Day Surgery, Interventional Radiology, Interventional Cardiology and Observation charts.

• Identifies, investigates, and corrects or routes accounts on the coding and billing edit work queues.

• Queries the provider when documentation is determined to be insufficient, conflicting or ambiguous to elicit documentation reflecting the most accurate and specific conditions or procedures.

• Provide education to providers on billing and coding guidelines.

• Demonstrates ability to abstract code of OP reports and/or any medical record.

• Maintains productivity and quality standards set forth in Acclaim’s coding standards.

• Demonstrates evidence of professional growth by attending coding workshops, conferences and or seminars, maintaining required C.E. requirements (departmental and professional), and individual study and education regarding coding and reimbursement competencies.

• Utilizes online and hard copy coding reference materials.

• Utilizes online and hard copy coding reference materials.

• Performs other job related duties as assigned.

Required Education and Experience:

• Associate’s Degree in Health Information Technology or a related field of study from an accredited college or university OR 3 plus years of outpatient coding experience in a hospital setting in lieu of Associate’s Degree.
• 2 plus years of outpatient coding experience.

Required Licensure/Certification/Specialized Training:

• Current Medical Coding Certification through AAPC.