Certified Medical Coder

1 week ago


Alpharetta, Georgia, United States SPCPSoutheast Medical Group Full time
Job Overview

The Certified Medical Coder is responsible for reviewing medical documentation to ensure accurate billing practices. This role involves participating in audits to assess the accuracy of selected codes and developing strategies to address any identified coding discrepancies.

Key Responsibilities:
  • Conduct thorough reviews of medical records to confirm compliance with billing standards.
  • Engage in audits to evaluate coding accuracy and implement improvements as necessary.
  • Maintain knowledge of Official Coding Guidelines and Risk Adjustment Guidelines to ensure quality assurance.
Qualifications:

Essential Skills:

  • Must possess CPC certification from AAPC.
  • Strong written and verbal communication abilities.
  • Ability to work collaboratively within a team environment.
  • Detail-oriented with excellent organizational skills.
  • Demonstrates a positive, enthusiastic attitude.
  • Minimum of one year of experience in medical billing.
  • Experience in primary care settings is advantageous.
  • Proficient in managing time effectively in a fast-paced environment.
  • Comprehensive understanding of medical terminology, anatomy, physiology, and disease processes.
  • Skilled in utilizing an ICD-10-CM code book for accurate coding.
  • Strong clinical knowledge related to chronic illness management is a plus.
  • Dependable with a commitment to meeting deadlines.
  • Proficient in computer applications, including MS Windows and MS Office.
  • Excellent analytical, interpersonal, and customer service skills.
  • Knowledge of HIPAA regulations and commitment to maintaining confidentiality.
Education and Experience:
  • High school diploma or GED required.
  • Familiarity with insurance verification and follow-up processes.
Physical and Mental Requirements:
  • Ability to lift and move objects weighing up to 50 pounds.
  • Capability to sit or stand for extended periods.
  • Proficient in using fine motor skills for office equipment operation.
  • Ability to comprehend and follow verbal and written instructions.
  • Logical reasoning skills for problem-solving.
  • Willingness to travel as needed to support business operations.


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