CERTIFIED MEDICAL CODER (NE)

PRINCIPLE CHOICE SOLUTIONS

Certified Medical Coder

POSITION PURPOSE

The Certified Medical Coder is responsible for managing high-quality, timely coding of diagnoses and procedures for both inpatient and outpatient accounts.

This role requires proficiency in using ICD-10, CPT-4, and HCPCS classification systems. The coder will work closely with physicians, technicians, and other integral parties to discuss and analyze coding results.

Additionally, the coder will develop and execute policies and procedures that impact immediate operations and potentially the entire organization.

ESSENTIAL FUNCTIONS

• Manage the coding of diagnoses and procedures using ICD-10, CPT-4, and HCPCS systems.
• Ensure accuracy and timeliness in coding for inpatient and outpatient accounts.
• Work closely with physicians, technicians, and other stakeholders to discuss coding analysis results.
• Analyze medical documentation to identify issues, events, diagnoses, and procedures.
• Develop and implement policies and procedures affecting immediate operations and potentially the entire organization.
• Select methods and evaluation criteria for accurate results.
• Gather physician background information from various resources for reporting purposes.
• Prepare summaries and assign appropriate codes.
• Make corrections after physician review and submit approved reports to managers in a timely fashion.

KNOWLEDGE & EXPERIENCE

• High school diploma or equivalent required.
• Three to five years of experience in medical coding.
• Deep experience with administrative information systems and applications.
• Coding certification through AHIMA or AAPC (CCS or CPC) is required.
• Experience with Military Health System coding is preferred but not required.

MACHINES & EQUIPMENT

The incumbent must be able to effectively operate the current computer system, telephone system, and other office machines such as a copier.

PHYSICAL REQUIREMENTS

Must be able to lift and carry up to 20 pounds. Must be able to talk, listen, and speak clearly on the telephone.

WORKING CONDITIONS

The incumbent works in an office environment that is not substantially exposed to adverse environmental conditions such as heat, cold, or extreme noise.

Routine periods of being on the phone utilizing a headset, sitting and data keying are required. Periodic times working at the office site may be required.

Security and privacy training will be provided as part of this role to protect the confidentiality, integrity, and availability of PCS associate and customer data.

The above statements are intended to describe the general nature of work being performed by people assigned to this classification.

They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.

Principle Choice Solutions is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, parental status, national origin, disability, genetic information, political affiliation, protected veteran status, sexual orientation, gender identity or expression, or any other non-merit-based factors or characteristic protected by federal, state, or local laws.

Powered by JazzHR