Required Education and Experience: Education: High School Graduate or Equivalent. Must be a certified coder either through AAPC or an equivalent organization. Certificate of ICD-10 proficiency required. Experience: 5 or more years of experience in the medical coding field. Must have a good knowledge of medical terminology, anatomy, diagnosis and procedure codes.

Additional Eligibility Qualifications: Must have a minimal of CPC or COC with a specialty certification from the AAPC or equivalent organization.

Essential Functions
Must be able to plan and prioritize workflow and produce an acceptable volume of work accurately.

Must possess strong analytical and research capabilities to review physician and nurse documentation.

Good problem solving skills and the ability to communicate clearly in writing and verbally to assigned providers and support staff.

Review and edit charges for accuracy of codes and modifier usage based on established billing guidelines and completeness of charges/diagnoses by specialties. Reviews and prints charges for data verification for E&M services.

Reviews, edits and exports MedAptus charges daily to encompass all charges in prior months.

Communicates coding changes and/or questions to Physicians’ offices to appropriate staff.

Monitors uncharged encounters in MedAptus and sends notices to Physician offices on missing charges.

Reviews ETM charges on a daily basis, reviews auto exported charges at the end of the day, and makes necessary changes to release charges to billing system.

Stays informed and up to date on coding issues by attending seminars.Possesses a comprehensive understanding of carrier specific, State or Federal billing guidelines.

Consistently stays within department goal for lag time for productivity accountability.