Certified Professional Coder Specialist

2 weeks ago


Pottstown, Pennsylvania, United States Community Health and Dental Care, Inc. Full time
About the Role

We are seeking a highly skilled Certified Professional Coder to join our team at Community Health and Dental Care, Inc. in Pottstown, PA. As a key member of our healthcare team, you will play a critical role in ensuring the accuracy and quality of our medical records and coding practices.

Key Responsibilities
  • Review and abstract relevant clinical information from patient encounters to assign accurate medical codes using ICD-10, CPT, and HCPCS code sets.
  • Make corrections to encounters that require external codes, diagnosis specificity, BMI coding, Medicare Wellness coding, and diagnosis sorting.
  • Verify CPT II codes are applied to encounters prior to submission and utilize specialized healthcare software tools to assign procedure and diagnosis codes.
  • Review claims data to ensure assigned codes meet regulatory requirements and insurance rules, and work with the billing team to investigate and correct denied claims.
  • Collaborate with healthcare providers to review and analyze patient medical records, assign appropriate ICD-10 codes, and map diagnoses to Hierarchical Condition Categories (HCC) to facilitate accurate risk adjustment.
  • Work closely with care teams to improve documentation of required data for various programs and payor incentives.
Requirements
  • High School Diploma required.
  • Certified Professional Coder (CPC) certificate and Health Information Systems.
  • 1 or more years' experience in a medical office setting, with familiarity with HCC coding rules preferred.
  • Remote work with attendance at assigned CHDC site(s) as needed or required.
About Us

Community Health and Dental Care, Inc. is a non-profit community health center located in Pottstown, PA. We provide high-quality health and dental care to our patients by utilizing the latest standards and most advanced technology in a professional atmosphere.



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