The Certified Professional Coder is responsible for assigned work queue’s
for physician services via medical records (encounter) for office visits,
outpatient surgery, office procedures and hospital visits utilizing ICD-10-CM
and CPT-4 codes. This requires thorough review of the medical record to
validate assigned codes for optimal reimbursement.
Roles and Responsibilties
Research coding and regulatory guidelines that impact coding and billing
for services to obtain relevant and timely information for internal utilization
utilizing ICD-10-CM and HCPCS/CPT-4 codes. Ensures appropriate charge capture.
Reasonable accommodations may be made to enable individuals with disabilities
to perform the essential functions.
- Employees must perform all duties and responsibilities in accordance with
the AAPC/AHIMA Standards of Ethical Coding and Company’s code of
Ethics and Business Conduct.
- Collects and analyzes outpatient clinical information to accurately report
codes and abstract relevant information used for reimbursement.
- Demonstrates a high degree of independence in performance of responsibilities,
working effectively with the department team members and management.
- Exhibits strong time management, problem solving and communication skills.
- Is able to effectively utilize various computer systems in performance
of job functions.
- Demonstrates an understanding of the billing cycle. Prioritizes data in
accordance with established guidelines of all governmental regulatory
agencies and third party payers.
- Demonstrates competency in coding and abstracting outpatient records in
accordance with ICD-10-CM/PCS and CPT-4 coding conventions and national
- Participates in continuing education opportunities and shows initiative
in researching difficult or interesting subjects. Shares the information
with the rest of the team.
- Understands coding conventions/rules as published in the "Coding Clinic"
and "CPT Assistant", as well as changes in medical terminology
and advances in medical and surgical procedures.
Please note this job description is not designed to cover or contain a
comprehensive listing of activities, duties or responsibilities that are
required of the employee for this job. Duties, responsibilities and activities
may change at any time with or without notice.
While performing the duties of this job, the employee is regularly required
to talk or hear. The employee frequently is required to stand; walk; use
hands to finger, handle or feel; and reach with hands and arms. The employee
may occasionally lift up to 25 pounds.