Certified Professional Coder
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Job Description
Certified Professional Coder at Advantia Health ensuring accurate coding practices and compliance with regulations. Collaborating with healthcare professionals to optimize revenue cycle processes.
Responsibilities:
- Review Medical Records to identify diagnoses/procedures.
- Perform accurate and timely coding of medical records using ICD-10-CM, CPT, and HCPCS codes.
- Ensure compliance with federal and state regulations, payer guidelines, including Medicare and Medicaid guidelines and company policies.
- Act as a liaison between the coding team and other departments, such as billing, compliance.
- Work closely with OBGYN physicians, advanced practice providers, nurses, and administrative staff to ensure accurate coding and billing.
- Track and request outstanding claims for assigned departments / facilities.
- Implement best practices and innovative solutions to enhance coding operations.
Requirements:
- High School/GED Education required
- Prior experience in lab billing, genetic testing, cancer screening, and mammography is preferred.
- This position requires certification as a Certified Coding Specialist (CCS) or Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).
- CPC-P or CPC certification is required (AAPC)
- Certification in OBGYN coding (COBGC) preferred.
- Minimum of 2 years of medical coding experience, with a focus on OBGYN coding.
- In-depth knowledge of ICD-10-CM, CPT, HCPCS coding systems, and medical terminology.
- Proficiency in electronic health records and billing software preferred.
Benefits:
- Health, Dental, and Vision Insurance
- Health Savings Account (HSA) and Flexible Savings Account (FSA) Option
- 401k Retirement Plan
- Life and Disability Insurances
- Paid holidays/PTO
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