Certified Medical Coder

6 days ago

Springfield, United States The Cardiovascular Care Group Full time
Job DescriptionJob Description

Job Summary:

Reporting to the Billing Manager, the Certified Medical Coder must have a current/active Certified Professional Coder (CPC, CCS or CCVTC) certification to provide quality review and analysis of a wide range of surgical and hospital outpatient coding, patient medical records and ensure accuracy of coding and maintain records in accordance with accepted medical and legal standards as well as provide the full range of billing support functions to ensure the efficient billing and collection of medical payments to the practice.

Certified Medical Coder (CPC, CCS or CCVTC) Responsibilities will include:

  • Properly analyze coding services, procedures, diagnoses, and treatments.
  • Submit claims to insurance companies by paper; attach any needed documents to claims (e.g. EOBs, operative reports, referrals).
  • Follow-up with hospitals on any missing data (operative reports, admission dates, etc.).
  • Maintain accurate records of medical billing and claims, settlements, and medical insurance; scan/file EOBs and all related billing documents.
  • Answer questions from patients, office staff and insurance companies.
  • Identify and resolve billing issues.
  • For denials, assign appropriate corresponding modifiers to bills to ensure correct processing, contact insurers and hospitals for precertification and referral numbers for claims.
  • Review accounts for possible assignments and prepare information for review by Billing Manager.
  • Settle claims between medical institutions, insurance companies & patients.
  • Prepare and scan daily deposits, report to Billing Manager.
  • Support accurate and efficient billing process and financial close.
  • Prepare and post vascular reading charges.
  • Maintain nursing home bills and payments.
  • Post-surgical consults/charges must review operative notes to ensure correct coding.
  • Perform other administrative duties (back up).

Certified Medical Coder (CPC, CCS or CCVTC) Skills and Experience: * Minimum 3+ years of experience as a Certified Medical Coder, preferably in a busy medical office.

  • Excellent knowledge of medical insurance and medical office billing practices
  • Excellent interpersonal communication skills
  • Surgical and hospital outpatient coding experience a plus
  • Strong customer service and problem-solving skills.
  • Excellent attention to detail; thorough and accurate in work
  • Management experience a plus
  • Proficient with electronic health records systems
  • Demonstrated organization skills including ability to manage multiple tasks and meet deadlines.
  • Proficient in Microsoft Office Suite

Education: * High School Diploma or equivalent

  • Requirement: Completion of accredited medical coding program CPC, CCS or CCVTC Certification that is current/active.

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