Certified Professional Coder (Rockland)

Healthcare South is looking for a Certified Medical Coding Specialist to join our team in the Corporate Office.

General Summary :

A nonexempt position responsible for coordinating, verifying, and reviewing medical records for claim submission.

• Coordinates with clinical / site staff to get charge information for all patients.
• Review all medical documentation to determine if assigned diagnosis, procedures codes and modifiers are appropriately assigned.
• Verifies and completes charge information in database and produces billing.
• Assess adequacy of documentation and queries providers to obtain additional medical record documentation or to clarify documentation to ensure accurate and appropriate coding.
• Maintains accurate productivity logs and provides this information to the coding supervisor / Director of Billing in a timely manner.
• Assists with audit of medical records for compliance purposes.
• Periodic review of CPT, ICD-10 and HCPC codes, at least annually or as instructed or required for new, revised or deleted code updates.
• Perform other work-related duties as assigned or requested.

Education :

High school diploma or equivalent, some college preferred. Certified Professional Coder required.

Experience :

Minimum of 3 years of Professional coding experience in family practice, pediatrics or internal medicine a plus as well as knowledge of risk coding.

Performance Requirements :

Knowledge :

Skills :

Abilities :

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