Job Description:
Certified Professional Coder
The ideal candidate will have a strong background in medical coding, attention to detail, and the ability to lead and mentor a team of Medical Billers. This role is critical in ensuring accurate and efficient coding practices, compliance with regulatory standards, and optimizing revenue cycle processes. Subspecialty experience in lab billing, genetic testing, cancer screening, and mammography is preferred.
Responsibilities
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Review medical records to identify diagnoses and procedures.
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Perform accurate and timely coding of medical records using ICD-10-CM, CPT, and HCPCS codes.
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Ensure compliance with federal and state regulations, payer guidelines (including Medicare and Medicaid), and company policies.
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Act as a liaison between the coding team and other departments such as billing and compliance.
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Work closely with OBGYN physicians, advanced practice providers, nurses, and administrative staff to ensure accurate coding and billing.
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Track and request outstanding claims for assigned departments/facilities.
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Implement best practices and innovative solutions to enhance coding operations.
Qualifications
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High school diploma or GED required.
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Certification as a Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA).
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CPC-P or CPC certification (AAPC) required.
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Certification in OBGYN coding (COBGC) preferred.
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Minimum 2 years of medical coding experience, with a focus on OBGYN coding.
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Prior experience in lab billing, genetic testing, cancer screening, and mammography preferred.
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In-depth knowledge of ICD-10-CM, CPT, HCPCS coding systems, and medical terminology.
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Proficiency in electronic health records and billing software preferred.