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Certified Professional Coder
2 months ago
Certified Professional Coder (CPC) - Ambulatory Surgical Setting
Elkridge, MD
MUST:
Must be a Certified Professional Coder (CPC) and or Certified Ambulatory Surgical Center Coder
3+ years of experience as a medical coder
Experience working in an ambulatory surgery center with full cycle billing experience
Experienced with ICD-10, HCPCS and CPT codes
Must have experience resubmitting rejected claims and following up on denials
Charge entry experience
Experience reviewing billing codes for accuracy
Associates or Bachelor's Degree preferred
DUTIES:
The duties of the Certified Professional Coder include but are not limited to the following:
Review medical coding and billing documentation for accuracy
Assign correct billing codes
Maintain log of claim submissions
Handle charge entry
Work rejected claims and resubmit
Contact providers for correct coding information
Review medical record documentation for accuracy to identify diagnoses and procedures
Ensure accuracy of patients demographics
Abstract data and code ambulatory procedures for reimbursements using ICD-10CM and CPT-4 classifications
Identify diagnoses, modifiers, and procedures codes
Assign ICD-10, HCPCS and CPT codes and verify accuracy of coding
Handle charge entry
Reconcile charge
Perform batch processing
Submit claims
Apply coding guidelines specific to Medicare, Medicaid, managed care plans and private payors
Handle tracking of outstanding and unbilled cases
Performs any other duties as needed
*Quadrant, Inc. is an equal opportunity and affirmative action employer. Quadrant is committed to administering all employment and personnel actions on the basis of merit and free of discrimination based on race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or status as an individual with a disability. Consistent with this commitment, we are dedicated to the employment and advancement of qualified minorities, women, individuals with disabilities, protected veterans, persons of all ethnic backgrounds and religions according to their abilities.
