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Certified Professional Coder

Expired Job

E Cancercare Nashville , TN 37201

Posted 2 months ago

Job Purpose:

The Certified Professional Coder assists in generating revenue by assigning and monitoring the coding and reimbursement activities for professional and technical services provided within a group of specialty areas.

Essential Functions:

  • Direct assigning of ICD-9 and ICD-10 codes by analyzing patient medical records.

  • Ensure documentation by providers conforms to legal and procedural requirements.

  • Consults with follow-up team prior to assigning claims to the appeals department for disputed / denied claims.

  • Provides feedback/training for physicians and staff in with any coding insufficiencies.

  • Assisting with research of denied claims.

  • Applies modifiers, checks CCI edits and assists with charge entry.

  • Aware of governmental regulations, protocols and third party requirements in reference to coding principles.

  • Maintain a working knowledge of EMR, the registration process and charge entry.

  • Ability to work effectively with providers and co-workers.

  • Regular attendance and punctuality.

  • Contributes to team effort by accomplishing related results as needed.

  • Ensures that all processing and reporting deadlines are consistently achieved.

  • Perform any other functions as required by management.

Qualifications and Education Requirements:

  • Certification in CPC, CHONC or specialty coding with one to three years experience directly related to coding and reimbursement for physician services.

  • Educational requirements: BS in related field of study preferred.

  • Attention to detail and the ability to organize information and tasks are essential.

  • Knowledge of current and developing issues and trend in medical coding procedures and requirements.

  • Working knowledge of ICD-9 and ICD-10 diagnosis codes, HCPCS, and CPT coding assignment.

Preferred Skills:

  • Knowledge of medical terminology.

Required Competencies:

Ability to work in a team environment and enjoy multi-job functions. Strong Business and Organizational Competence. Exceptional Customer Service Skills. Strong functional Competence. Interpersonal Skill Competency. Stress Tolerance. Initiative. Adaptability. Accountability. Integrity. Self-Confidence. Time Management Skills with an emphasis on multi-tasking.

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Certified Professional Coder

Expired Job

E Cancercare