Certified Professional Coder
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Job Description
Certified Professional Coder assigning ICD-10-CM and CPT-4 codes for Logan Health’s Montana healthcare system. Abstracting clinical data and supporting accurate billing, reimbursement, and compliance.
Responsibilities:
- Assign and sequence ICD-10-CM and CPT-4 codes for specialty patient types, billing, and reimbursement
- Review and analyze medical records for documentation deficiencies
- Accurately reflect diagnoses and procedures in medical records
- Review charges, ensure accuracy, and check medical necessity for ordered tests and procedures
- Communicate with providers, staff, leadership, and hospital departments to ensure adequate supporting documentation
- Perform timely follow-up on accounts on hold
- Abstract clinical data after documentation assessment and review
- Ensure clinical data abstraction meets regulatory and compliance requirements
- Follow coding guidelines and legal requirements for compliance with Federal and State regulatory bodies
- Verify patient account, type, and demographic data
- Coordinate corrections with Patient Access for accurate billing, reimbursement, and reporting
- Meet productivity standards set by the Revenue Integrity Coding department
- Support continuous quality improvement efforts
- Participate in continuing education activities
- Maintain regular and consistent attendance as scheduled
Requirements:
- Knowledge and understanding of ICD-10-CM and CPT-4 coding guidelines and practices
- Nationally recognized coding certificate such as CCA, CCS, CPC, or AAPC certification required
- Excellent organizational skills and attention to detail
- Self-starter with critical thinking and prioritization skills
- Ability to work both as part of a team and independently
- Commitment to teamwork and maintaining confidentiality
- Excellent verbal and written communication skills
- Excellent interpersonal skills and ability to manage sensitive and confidential situations professionally
- Computer proficiency, including Microsoft Office Suite and ability to learn other software
- Preferred: 1+ year(s) of coding experience in an acute care or medical office setting
- Preferred: 2+ years of computer data entry and retrieval experience within an electronic medical record system
- Preferred: thorough knowledge of anatomy, medical terminology, classification and nomenclature, and health information management procedures and practices
- Must reside in one of the approved states: Arkansas, Arizona, Colorado, Florida, Hawaii, Idaho, Illinois, Indiana, Kansas, Michigan, Missouri, Montana, Minnesota, North Carolina, Ohio, Oregon, Tennessee, Texas, Virginia, or Washington
- Full-time availability for 40 hours per week and 8-hour day shifts
- Successful completion of pre-employment screening, including criminal background, reference, drug, health and immunizations, and physical demand screening, if offered employment
Benefits:
- Health, Dental, and Vison insurance
- 401(k) with generous matching
- Employer-provided life insurance
- Voluntary life and disability insurance options
- Critical Illness and Voluntary Accident options
- Employee assistance program (EAP)
- FSA
- Paid time off, Holiday pay, and Illness bank
- Employee referral program
- Tuition Reimbursement Program
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