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USA

Certified Professional Coder

Newark - Delaware (DE), 19713

Delaware Center for Maternal and Fetal Medicine

Job Description:

As a Certified Professional Coder, you will code outpatient records for the purpose of reimbursement, data collection and compliance with federal regulations according to diagnosis, operation, and procedure on a concurrent basis.

JOB SUMMARY:

This non exempt position is responsible for coding medical records with accuracy and in a timely manner.

SPECIFIC DUTIES AND RESPONSIBILITIES:

  • You will be required to read notes and viewpoint reports prepared by the physicians, sonographers, nurses and nurse practitioner to ensure that these contain accurate and complete documentation.
  • Promptly notify the sonographers and if necessary the manager of the sonographers should there be any discrepancies between the documentation and the CPT, HCPC and ICD-10 codes that they have supplied.
  • Query sonographers and/or the manager when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
  • Review the records and be sure the assigned codes accurately describe the documented diagnosis and procedures according to correct coding guidelines.
  • Review the records to identify secondary complications and co-morbid conditions.
  • Able to demonstrate working knowledge of CPT, HCPC and ICD-10 coding.
  • Demonstrated knowledge of human anatomy, physiology, medical terminology and surgical terminology.
  • Knowledge of coding compliance policies, official coding guidelines, regulatory requirements and internal policies and procedures affecting the coding process.
  • Review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for facility and professional charges.
  • Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.

PERFORMANCE REQUIREMENTS:

  • Maintains an excellent understanding of the eClinical Works scheduling and billing system.
  • Code a minimum of 80 claims per day
  • Displays comprehensive knowledge of coding procedures.
  • Demonstrates effective use of medical terminology.
  • Demonstrates effective customer service skills.
  • Utilizes effective time management skills to set priorities and multi task.
  • Demonstrates effective organizational and critical thinking skills.
  • Demonstrates effective use of organizational policies, procedures, and systems.
  • Demonstrates effective communication and interpersonal skills for appropriately handling stressful or difficult situations.
  • Demonstrates dependability and initiative as a member of a team.
  • Maintains the strictest of confidentiality with all PHI.

EDUCATION:

  • High school diploma or GED equivalent.
  • Certified Professional Coder Credential

REQUIRED LICENSES/CERTIFICATIONS:

  • Certified Professional Coder – Credential – currently certified

EXPERIENCE:

  • Minimum two years experience including CPT, HCPC and ICD-10 coding experience.
  • Prior Electronic Healthcare Records experience preferred.
  • Ability to operate computers, and general office equipment (copier, fax, scanner), and multi line telephones.

Job Type: Full-time

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