FLSA : Non-Exempt
Reports To : Revenue Cycle Manager
Main Function :
As a member of the care team, the Certified Coder is responsible for working collaboratively with other team members to assure the safe, timely and accurate delivery of patient care.
The Certified Coder is responsible for accurate and timely coding of surgeries, consults and E&M visits.
Customer Service
- Operates within the concept of patient focused care
- Anticipates patient needs
- Delivers caring, timely service with positive body language
- Presents good telephone skills
- Greets patients at every stage of the visit
- Responds promptly to patient needs requests
- Responds promptly to Physician and team member requests and inquiries
- Participates as an active, positive member of the TOI team
Certified Coder Duties
Reviews all surgery charge slipsWorks with physicians on procedures and chargesKnows how to use ICD-10, CPT, CCI and coding companion books to assign appropriate codes and modifiersAssigns appropriate codes using ICD-10 and CPTRequests details from clinical staff when information is not recordedDetermines and records other required medical information, as necessaryUpdates coding procedures and guidelines as needed; stays current with changes in reimbursement regulationsWorks with billers on denials to obtain full reimbursementInterfaces with other agencies that assist our physicians and ones we assist (i.e. labs, pharmacies, orthopaedic equipment, other physician offices)Audits charts for coding accuracyEnhances professional growth and development through education programs and conferencesPerforms related work, as requiredMaintains all patient confidentiality and HIPAA rules and regulationsQualifications
High school diploma or equivalentAHIMA or AAPC CertificationOne year of work experience in a medical settingKnowledge of medical terminologyWord processing and computer experienceMental / Physical Requirements
Ability to work well under pressure with diverse groups of professionals and physiciansAbility to communicate written and oral ideas and plan effectivelyRequires good communication and organizational skillsRequires reasoning ability and good independent judgmentMust be sensitive to cultural and bilingual issuesRequires working under stressful conditions and irregular hours
Requires working with frequent interruptionsRequires tolerance of standing or sitting posture up to (4 hours) continuously, for a total of up to (10 hours) per (12 hours)Required to operate computer keyboard, mouse, and monitor for a total of up to (8 hours) per (12 hours)Working Conditions (environmental)
Risk of occupational exposure to blood and other potentially infectious materials (OPIM)Possible risk of physical injury due to moving machinery and supplies