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Accurately reviews and assigns Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and ICD-10-CM codes for professional claims
Applies official coding conventions and rules established by the American Medical Association (AMA) and the Center for Medicare and Medicaid Services (CMS)
Reviews procedure documentation for accurate assignment of ICD-10-CM diagnosis and CPT-4 codes
Ensures appropriate coding of evaluation and management services
Collaborates with billing, charge review, and revenue integrity teams to prevent recurring issues
Requirements:
High school diploma or equivalent
Certified Professional Coder-Apprentice (CPC-A), Certified Professional Coder (CPC), or Certified Coding Specialist-Physician (CCS-P) certification required
Associate's degree in health information management preferred
Two years' experience in physician coding role preferred
ICD-10-CM, CPT-4 and HCPCS coding experience preferred
One year surgical coding experience preferred
Excellent verbal and written communication skills
Strong knowledge of surgical coding guidelines
Knowledge of pathophysiology and disease processes
Proficient with Microsoft applications to include Outlook, Word, Excel, PowerPoint
Medical Terminology, Anatomy and Physiology, or Pathophysiology knowledge