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Accounts Receivable, Certified Professional Coder

Accounts Receivable, Certified Professional Coder

Columbia UniversityNew York, NY, United States
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Job Type : Officer of Administration.Standard Work Schedule : 9AM-5PM, M-F.The compensation range listed in this job posting reflects the market rate for the New York City Metropolitan area.Actual co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Certified Professional Coder (CPC) - Coding Auditor

Certified Professional Coder (CPC) - Coding Auditor

Texas Health Care PLLCFort Worth, TX, US
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Privia Medical Group, NTX is a multi-specialty medical group committed to delivering high-quality, patient-centered care. We are seeking an experienced and detail-oriented.Certified Professional Cod...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Certified Coder

Certified Coder

Bloom ValueHemet, CA, US
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Bloom Value Corporation is a technology start up based in Sacramento, CA, USA.Founded by a diverse group of IT industry and healthcare leaders, Bloom Value is focused on financial and operational v...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Certified Professional Coder

Certified Professional Coder

North Country HospitalNewport, VT
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Remote work available after training.Nestled into the most northern part of Vermont, North Country Hospital is a community-focused 25 bed critical access hospital, where we prioritize the well-bein...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Coder, Certified

Coder, Certified

Family Health Centers of San DiegoSan Diego, CA, United States
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Impact Lives, Impact Community.Family Health Centers of San Diego (FHCSD) is passionate about providing exceptional health care to all, especially underserved communities with limited health care o...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Certified Coder

Certified Coder

Brown Physicians, Inc.Providence, RI, US
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PRINCIPAL DUTIES AND RESPONSIBILITIES : .Reads and interprets health record documentation to identify all diagnoses and procedures that affect the. Assign CPT, ICD-10, HCPCS II, and modifiers based on...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Coder Professional - Coder Professional

Coder Professional - Coder Professional

Lima Memorial Health SystemLima, Ohio, United States, 45801
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Coder Professional - Coder Professional.Functioning within the Health System’ mission, values, objectives, procedures and policies, the Coder - Professional codes all physician office medical recor...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Certified Professional Coder

Certified Professional Coder

VirtualVocationsBurlington, Vermont, United States
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A company is looking for a Coder+ Specialist who will be responsible for processing claims and providing support in a healthcare setting. Key Responsibilities Analyze medical records to convert do...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Certified Coder

Certified Coder

American Vision PartnersPhoenix, AZ, US
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As a Certified Coder, you'll be responsible for the assignment of ICD-10 diagnoses and CPT procedure codes for physician professional services and ASC charges. Abstracts medical record documents...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Certified Professional Coder

Certified Professional Coder

Advantia healthWashington, DC, US
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Advantia is seeking a Certified Professional Coder to join our team! The ideal candidate will have a strong background in medical coding, attention to detail, and the ability to lead and mentor a t...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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CERTIFIED PROFESSIONAL CODER

CERTIFIED PROFESSIONAL CODER

Oneida HealthOneida, NY, US
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This position is a key component to AR days.Responsible for Coding all outpatient services within established benchmarks for the Medical Practice Network. Assignment of accurate diagnosis and proced...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Certified Professional Coder

Certified Professional Coder

SUNY College of OptometryNew York, New York, United States
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The University Eye Center (UEC) of the State University of New York College of Optometry, an Article 28 Diagnostic and Treatment Center, is seeking a Certified Professional Coder.The successful can...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Certified Professional Coder Consultant

Certified Professional Coder Consultant

Yeo & YeoSaginaw, Michigan
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The Certified Professional Coder Consultant will review medical records, verify coding accuracy, and provide a summary of findings. Assist with presentation of educational information to Clients and...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Certified Professional Coder

Certified Professional Coder

Advanced Pain CareAustin, TX, US
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The certified coder prepares and submits clean claims to insurance companies electronically and by paper, and provides appropriate coding for each patient’s medical history, diagnosis, tests ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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PROFESSIONAL CODER

PROFESSIONAL CODER

Minnie Hamilton Health Care Center IncGrantsville, WV, US
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Grantsville, WV, 26147Requirements : .Professional coder certification.We are seeking a professional coder to join our team in Grantsville, WV. The ideal candidate will have an AAPC / AHIMA certificatio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Coder - Certified

Coder - Certified

Catalyst Medical Group LLCLewiston, ID, US
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The Certified Medical Coding Specialist will evaluate medical records and charge tickets to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Certified Professional Coder

Certified Professional Coder

Shore Medical CenterSomers Point, New Jersey, United States, 08244
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Somers Point-NJ-08244-United States.Certified Professional Coder provides quality review and analysis of a wide range of patient medical records, ensure accuracy of coding, and maintain records in ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Certified Professional Coder

Certified Professional Coder

Advantia HealthArlington, Virginia, United States
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Advantia is seeking a Certified Professional Coder to join our team! The ideal candidate will have a strong background in medical coding, attention to detail, and the ability to lead and mento...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Certified Coder

Certified Coder

Univ. of MD Neurosurgery Assoc.Baltimore, MD, US
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Performs functions such as reviewing documentation and selecting the appropriate procedure and / or diagnosis code to be entered in billing documents. Ensures that teaching physician requirements ar...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
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Certified Coder

Certified Coder

Indiana Internal Medicine ConsultantsGreenwood, IN, US
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Medical benefits including vision and dental (dependent upon job status).Paid holiday, vacation, and personal leave.Outpatient, clinical care setting. Evaluates medical records and charge tickets to...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Accounts Receivable, Certified Professional Coder

Accounts Receivable, Certified Professional Coder

Columbia UniversityNew York, NY, United States
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Job Type : Officer of Administration

Regular / Temporary : Regular

Hours Per Week : 35

Standard Work Schedule : 9AM-5PM, M-F

Salary Range : $65,000.00-$75,000.00

The compensation range listed in this job posting reflects the market rate for the New York City Metropolitan area. Actual compensation may vary depending on the geographic location of the candidate, in accordance with local labor market conditions.

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.

Position Summary

The Certified Professional Coder (CPC) is responsible for accurate coding of medical records and claims within the Clinical Revenue Office's Accounts Receivable department. This role ensures compliance with payer regulations, supports denial resolution, and contributes to efficient revenue cycle operations. The CPC plays a vital role in ensuring proper billing and reimbursement while maintaining high standards of compliance and accuracy.

Responsibilities

Accounts Receivable Coding

  • Research root causes of claim denials and apply knowledge of payer policies to determine the appropriate course of action, including appeals.
  • Manages complex coding-related cases and recommends resolutions while escalating issues when necessary.
  • Prepares and reviews correspondence with insurance companies, patients, or guarantors to address claim-related inquiries.
  • Documents all actions and findings in the billing system to maintain accurate and comprehensive account records.
  • Collaborates with the senior leadership to address unresolved or escalated issues.

Coding and Charge Review

  • Reviews charges in work queues for compliance and accuracy, ensuring alignment with Current Procedural Terminology (CPT), ICD-10, and other coding standards.
  • Performs reconciliation of charges against appointment reports or procedure logs to ensure all patient services are billed appropriately.
  • Verifies the accuracy of charge header information, including service provider, billing area, CPT codes, modifiers, and diagnosis linkage.
  • Communicates with providers to resolve discrepancies via Epic or a secure chat.
  • Reviews charge correction requests and ensures accuracy prior to resubmission.

    • Denials Management

  • Collaborates with Accounts Receivable staff to resolve denied or rejected claims related to coding issues.
  • Provides expertise in payer-specific coding requirements to facilitate successful appeals and payment recovery.
  • Tracks trends in denials and recommends process improvements to reduce future errors.

    • Insurance Verification and Compliance

  • Conducts thorough insurance verification to ensure accurate claim submission and timely reimbursement
  • Updates patient accounts with corrected demographic or insurance information as necessary.
  • Ensures compliance with organizational and regulatory coding standards, including HIPAA and Medicare / Medicaid guidelines.

    • Continuous Improvement

  • Monitors key performance indicators and participates in performance improvement initiatives.
  • Provides coding expertise to support department goals and enhance revenue cycle operations.

    • Compliance & Other

  • Performs other tasks and assumes additional responsibilities within the Revenue Cycle Department as assigned.
  • Represents the FPO Clinical Revenue Office on cross-functional committees, task forces, and work groups as assigned.
  • Conforms to all applicable HIPAA, Billing Compliance, and safety policies and guidelines.

    • Please note : While this position is primarily remote, candidates must be in a Columbia University-approved telework state. There may be occasional requirements to visit the office for meetings or other business needs. Travel and accommodation costs associated with these visits will be the responsibility of the employee and will not be reimbursed by the company.

    Minimum Qualifications

  • Bachelor's Degree or an equivalent combination of education and experience.
  • A minimum of 3 years of medical coding experience, preferably in a physician billing or third-party payer environment.
  • An equivalent combination of education and experience may be considered.
  • CPC certification is required.
  • Proficiency in CPT, ICD-10, and HCPCS coding, as well as payer-specific billing guidelines.
  • Strong working knowledge of managed care eligibility, referrals, and authorizations.
  • Demonstrated ability to interpret clinical documentation and ensure compliance with coding and billing standards.
  • Excellent organizational skills and attention to detail with the ability to handle multiple tasks effectively.
  • Proficiency in Microsoft Office (Word, Excel) and electronic health record systems (e.g., Epic).
  • Must successfully complete systems training requirements.

    • Preferred Qualifications

  • Experience in a physician practice or healthcare setting.
  • Experience in EPIC.
  • Familiarity with quantitative and qualitative data analysis related to coding and billing.

    • Competencies

    Patient Facing Competencies

    Minimum Proficiency Level

    Accountability & Self-Management

    Level 3 - Intermediate

    Adaptability to Change & Learning Agility

    Level 2 - Basic

    Communication

    Level 2 - Basic

    Customer Service & Patient Centered

    Level 3 - Intermediate

    Emotional Intelligence

    Level 3 - Intermediate

    Problem Solving & Decision Making

    Level 3 - Intermediate

    Productivity & Time Management

    Level 3 - Intermediate

    Teamwork & Collaboration

    Level 2 - Basic

    Quality, Patient & Workplace Safety

    Level 3 - Intermediate

    Leadership Competencies

    Minimum Proficiency Level

    Business Acumen & Vision Driver

    Level 1 - Introductory

    Performance Management

    Innovation & Organizational Development

    Level 1 - Introductory

    Equal Opportunity Employer / Disability / Veteran

    Columbia University is committed to the hiring of qualified local residents.