Certified Coder

• Analyze clinical and demographic information from health records to assign appropriate ICD-10-CM and CPT/HCPCS codes
• Support accurate and compliant coding of outpatient medical encounters
• Review and analyze medical records to assign diagnosis and procedure codes
• Apply ICD-10-CM, CPT, and HCPCS coding guidelines according to regulatory and organizational standards
• Identify documentation gaps and initiate queries for clarification
• Resolve routine coding edits and initiate inquiries for accurate and compliant code assignment
• Manage assigned work queues while maintaining productivity and accuracy standards
• Work cooperatively with coding team members and internal partners
• Communicate documentation needs and coding questions to stakeholders
• Use coding tools and references to resolve routine issues and escalate when needed
• Complete assigned coding work accurately and within established timelines
• Follow established workflows and identify basic efficiency opportunities
• Support coding outcomes contributing to reimbursement and data integrity
• Adapt to changes in coding guidelines, tools, and payer requirements

• Analyze clinical and demographic information from health records to assign ICD-10-CM and CPT/HCPCS codes
• Review and analyze medical records for outpatient diagnosis and procedure coding
• Apply coding guidelines in accordance with regulatory and organizational standards
• Identify documentation gaps and initiate queries for clarification
• Resolve routine coding edits and initiate inquiries for accurate code assignment
• Maintain productivity and accuracy standards while managing assigned work queues
• Work cooperatively with coding team members and internal partners
• Communicate documentation needs and coding questions to stakeholders
• Use coding tools and references to resolve routine issues and escalate when needed
• Complete assigned coding work accurately and within established timelines
• Follow workflows and identify basic efficiency opportunities
• Support accurate coding outcomes contributing to reimbursement and data integrity
• Adapt to changes in coding guidelines, tools, and payer requirements

• Review medical record documentation to identify pertinent facts necessary to select comprehensive diagnoses and procedures
• Code evaluation and management to the appropriate CPT code
• Code diagnoses to the appropriate ICD-9 code
• Meet with physicians to review documentation, resolve coding, and secure signatures for unsigned dates of service
• Tag files for follow-up
• Act as lead person and assist coders and IBC staff with medical terminology and policy interpretation
• Assist efforts to increase physician awareness of documentation requirements
• Prepare case reports and initiate follow-up for the billing process

Coder Certified – Emergency Medicine

• Review documentation to identify pertinent facts needed to select comprehensive diagnoses and procedures
• Code evaluation and management to the appropriate CPT code
• Code diagnoses to the appropriate ICD-10 code
• Meet with physicians to review documentation, resolve coding issues, and secure signatures for unsigned dates of service
• Tag files for follow-up
• Act as lead person and assist coders and IBC staff with medical terminology and policy interpretation
• Assist efforts to increase physician awareness of documentation requirements
• Prepare case reports and initiate billing-process follow-up
• File appeals with insurance companies
• Participate in special projects
• Investigate low payments and other payer issues
• Perform advanced appeal activities, including reviewing payer policies
• Handle charge corrections
• Perform other duties as assigned

Certified Coder – Orthopedic Surgery

• Review chart documentation for accuracy and completeness
• Identify inconsistencies in chart documentation and work with staff and the Coding Supervisor to resolve issues
• Communicate with Claims Resolution Specialists and Business Office staff to resolve errors and clarify issues
• Code diagnoses, procedures, and modifiers accurately according to established coding guidelines
• Work collaboratively with providers to obtain complete documentation supporting coding
• Meet quality and productivity standards and monitor compliance with policies and procedures
• Identify process opportunity trends and recommend efficiency improvements
• Maintain current knowledge of coding guidelines and relevant state and federal regulations
• Ensure adherence to third-party and governmental regulations relating to coding, documentation, compliance, and reimbursement
• Participate in special projects, personal development training, and cross-training
• Inform the Coding Supervisor of trends, inconsistencies, discrepancies, or payer changes
• Collaborate with peers and functional areas of the Coding and Revenue Integrity department
• Maintain patient confidentiality and complete Annual Compliance Training
• Perform other position-related duties as assigned

Certified Coder jobs in United States

Certified Coder

Certified Coder

Coder Certified – Emergency Medicine

Certified Coder – Orthopedic Surgery

Coder, Certified Radiation Oncology