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Become A Certified Professional Coder

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Working As A Certified Professional Coder

  • Getting Information
  • Processing Information
  • Documenting/Recording Information
  • Interacting With Computers
  • Organizing, Planning, and Prioritizing Work
  • Mostly Sitting

  • Repetitive

  • $63,565

    Average Salary

What Does A Certified Professional Coder Do At Randstad

* Compiles, abstracts and maintains patient medical records to document condition and treatment for surgeries.
* Identifies, compiles, and codes patient data, using ICD 10 and CPT classification coding systems.
* Performs regularly scheduled targeted audits to assess revenue optimization and quality of documentation.
* Researches and resolves problems with patient accounts in work queues.
* Assists physicians and providers on coding questions or concerns.
* Using reports, audits tickets in work queue for missed charges, completeness, accurate coding, etc.
* Performs charge entry functions.
* Facilitates conversation and works as a liaison between CBO, Compliance, and physician to resolve documentation and billing concerns.
* Serves as a resource for other Business Office staff.
* Obtains insurance eligibility and benefit details.
* Performs other duties as assigned.
* COMPENSATION:
* Salary $50,000 - $60,000 DOE
* POSITION:
* Full
* Time
* Working hours: Mon
* Fri 8:00am
* pm

What Does A Certified Professional Coder Do At Lahey Health

* Provides review and/or coding of any professional services including but not limited to surgeries, encounters, and diagnostic services for appropriate use of CPT, ICD
* ICD-10, HCPCS, and Modifier useage/linkage as well as provide ICD
* coding where needed for handwritten/missing diagnoses.
* Provides same for areas where workfiles are used.
* In areas where paper is used, reconcile daily charges against log (if available/applicable) to ensure daily capture of coding charges expected.
* Productivity and accuracy for workfile and non-workfile standards must be met according to guidelines set by manager.
* Review and assist in updates of coding dictionaries/encounter forms/charge slips as needed for accuracy of CPT, HCPCS and ICD
* ICD-10 Coding.
* Periodic review of codes, at least annually or as introduced or require for new, revised, or deleted code updates.
* Answers and responds accurately and timely to questions on the telephone, voice mail, e-mail, Coding Hotline and/or Coding Website as appropriate.
* Reviews and analyzes rejected claims and patient inquiries of professional services, and recommends appropriate coding corrections via paper or electronic submission to the PFS Department.
* Reports regularly on daily activity, productivity, and findings of reviews/rejections/education via electronic file or database, e-mail, paper, or other means as required by manager.
*

What Does A Certified Professional Coder Do At Centura Health

* FUNCTIONS, IN ORDER OF TIME SPENT)_
* Accurately assigns ICD
* CPT-4, and HCPCS codes and modifiers in general and multi-specialty areas, including, but not limited to, oncology, OB/GYN, orthopedics, neurosurgery, interventional radiology, endocrinology, anesthesia, etc
* Reviews EMR, encounter forms and applies coding training to identify and sequence appropriate ICD
* to the appropriate CPT code.
* Accurately enters codes and charges and other required medical information into the designated computer software system.
* Works with central business office team and revenue support team on resolving claim denials and appeals to assure maximum net revenue, and identify payer underpayments in a timely fashion.
* Maintains coding skill through continuing education and reading of distributed materials.
* Trains new coders as requested in the coding and abstracting process.
* Demonstrates excellence in communication skills and positive interpersonal relations.
* Acts as a service representative of the department.
* Meets department and system attendance standards.
* Actively seeks to promote and helps to maintain a professional, team oriented, service conscious environments, which contributes to the goals of the department and reflects the values of the system.
* Supports chart/claim audit projects.
* Assists with development and/or reviews of coding guidelines, policies, procedures as needed.
* This job description is not intended to be an exhaustive list of all duties.
* Employee may perform other related duties as assigned.
*

What Does A Certified Professional Coder Do At Cleveland Clinic

* Compares and reconciles daily patient schedules/census/registration to billing and medical records documentation for accurate charge submission, which includes (but not limited to) processing of professional charges, facility charges, manual data entry.
* Maintains records to be used for reconciliation and charge follow up.
* Investigates and resolves charge errors.
* Meets coding deadlines to expedite the billing process and to facilitate data availability for CCF providers to ensure appropriate continuity of care.
* Responsible for working professional held claims in CCF claims processing system.
* Reviews, abstracts and processes services from surgical operative report.
* Reviews, communicates and processes physician attestation forms.
* Communicates with physician and other CCF departments (co-surgery) to resolve documentation discrepancies.
* Assists with Evaluation and Management (E&M) audits and other reimbursement reviews.
* Responsible for working E&M denials on the denial database.
* Other duties as assigned

What Does A Certified Professional Coder Do At Mercy Health

* It is expected that all of the Principal Duties and Responsibilities identified below will be performed in a manner that reflects the values of the Catholic Healthcare Partners, which are: Excellence, Human Dignity, Justice, Compassion, Sacredness of Life and Service.
* The Coding Specialist is responsible for the following:
* Codes claims directly from the operative report
* Researches and obtains necessary information from provider/office
* Assists with research for denied claims

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How To Become A Certified Professional Coder

Health information technicians typically need a postsecondary certificate to enter the occupation, although some may need an associate’s degree. Certification is often required.

Education

Postsecondary certificate and associate’s degree programs in health information technology typically include courses in medical terminology, anatomy and physiology, health data requirements and standards, classification and coding systems, healthcare reimbursement methods, healthcare statistics, and computer systems. Applicants to health information technology programs may increase their chances of admission by taking high school courses in health, computer science, math, and biology.

A high school diploma or equivalent and previous experience in a healthcare setting are enough to qualify for some positions, but most jobs for health information technicians require postsecondary education.

Important Qualities

Analytical skills. Health information technicians must be able to understand and follow medical records and diagnoses, and then decide how best to code them in a patient’s medical records.

Detail oriented. Health information technicians must be accurate when recording and coding patient information.

Integrity. Health information technicians work with patient data that are required, by law, to be kept confidential. They must exercise caution and a strong sense of ethics when working with this information in order to protect patient confidentiality.

Interpersonal skills. Health information technicians need to be able to discuss patient information, discrepancies, and data requirements with other professionals such as physicians and finance personnel.

Technical skills. Health information technicians must be able to use coding and classification software and the electronic health record (EHR) system that their healthcare organization or physician practice has adopted.

Licenses, Certifications, and Registrations

Most employers prefer to hire health information technicians who have certification, or they may expect applicants to earn certification shortly after being hired. A health information technician can earn certification from several organizations. Certifications include the Registered Health Information Technician (RHIT) and the Certified Tumor Registrar (CTR), among others.

Some organizations base certification on passing an exam. Others require graduation from an accredited program. Many coding certifications also require coding experience in a work setting. Once certified, technicians typically must renew their certification regularly and take continuing education courses.

A few states and facilities require cancer registrars to be licensed. Licensure requires the completion of a formal education program and the Certified Tumor Registrar (CTR) certification.

Advancement

Health information technicians may advance to other health information positions by receiving additional education and certifications. Technicians may be able to advance to a position as a medical or health services manager after completing a bachelor’s or master’s degree program and taking the required certification courses. Requirements vary by facility.

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Certified Professional Coder jobs

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Top Skills for A Certified Professional Coder

ElectronicMedicalRecordsDocumentationGuidelinesCPCMedicareGeneralSurgeryInternalMedicineRadiologyIcd-10-CmIcd-9-CmEmergencyDepartmentInsuranceCompaniesClinicalDocumentationAuditE/MDiagnosisCodesRemoteMedicaidCardiologyAapcPediatrics

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Top Certified Professional Coder Skills

  1. Electronic Medical Records
  2. Documentation Guidelines
  3. CPC
You can check out examples of real life uses of top skills on resumes here:
  • Utilize the company's electronic medical records (EPIC).
  • Provide physician education on correct coding documentation guidelines.
  • Review special projects to ensure quality of medical records review were performed accordingly by other CPC's.
  • Follow medicare and Medicaid guidelines.
  • Specialized in coding Internal Medicine, General Surgery, Urology, Geriatrics, Pediatrics, Wound Care and Nursing Homes services.

Top Certified Professional Coder Employers

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