Certified Coder

The Certified Coder reviews CPT, HCPCS and ICD-10 coding for Physician visits and procedures. This position assures that proper documentation is present to support the codes submitted for reimbursement. The Certified Coder reviews claims prior to submission to ensure necessary modifiers are included to provide optimal reimbursement. The responsibilities also include assisting the Insurance Claims Specialists with filing appeals when needed and the Patient Account Representatives when patients may have questions related to coding.

• Full-Time/Benefits Eligible 
• Monday-Friday - 8a-5p
• Westerville, OH 

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

• Review physician progress notes for necessary documentation prior to locking of notes.

• Work claims prior to submission to ensure that the codes are correct and necessary modifiers have been appended.

• Work actions from sites and other teams in Revenue Cycle to assist in coding queries.

• Assist Physicians in learning how to do correct coding. 

• Act as resource to Physicians and Revenue Cycle team on coding related questions and issues.

• Participate in education activities such as courses and seminars, both within the company and outside.

 

QUALIFICATIONS:

Preferred: Minimum 1 year of experience as a certified coder 

 

Education, Licensures & Certifications 

Required: High School diploma or GED

Required: Certification from either AAPC or AHIMA for Medical Coding

Required: Maintain coding certification

 

Knowledge, Skills & Abilities

• Extensive knowledge of CPT, ICD-10 and HCPCS coding

• Ability to demonstrate a high level of confidentiality 

• Ability to learn and use new software programs

• Ability to examine documents for accuracy and completeness

• Ability to communicate both verbally and written clearly and precisely

• Working knowledge of Microsoft Teams, Word, Excel and Outlook

• Self-motivated with the ability to work independently or as a team member

 

Delivers independent primary and specialty medical care services.