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in Danville, VA

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Verified Pay $16.50 - $18.00 per hour
Hours Full-time
Location Danville, Virginia

About this job

PATHS

Certified Professional Coder

Job Title: Certified Professional Coder Date October 2021
Department: Billing Supervisor: Billing Manager

JOB DESCRIPTION

SUMMARY
Certified Professional Coder (CPC or CPC-A) to provide quality review and analysis of a wide range of patient medical records and ensure accuracy of coding and maintain records in accordance with accepted medical and legal standards. Responsible for reviewing medical records to assure proper billing of the medical record, comparison of physician chosen CPT and ICD-10 codes to the physicians' documentation to substantiate the level of coding, physician services to include identification of professional services in and complete review of medical records to accurately optimize all professional services documented for billing.

Education and/or experience o Certified Professional Coder (CPC or CPC-A) or Certified Evaluation and

Management Coder (CEMC) from accredited source (American Health lnformation
Management Association, American Academy of Professional Coders, or Practice
Management Institute)

. At least 2 years of experience relevant to ICD-10 coding or medical record audit experience, preferably OB/GYN

. Experience with hospital and professional billing for OB/GYN related services

Competencies
. Detail orientated
. A strong knowledge of anatomy, physiology and medical terminology
. Good attention to accuracy and completeness to identify outliers/inefficiencies
. Strong written and verbal communication skills to present findings and results effectively
. Work independently
. Prioritizing and planning work activities as to use time efficiently
. Organized, accurate, thorough, and able to monitor work for quality
. Dependability, able to follow instructions, respond to direction and able to improve performance through management feedback
. Maintain very strict confidentiality
. Microsoft Word and Excel efficient o Have diplomacy, tact, and a positive approach to problem solving o Maintains positive working relations with co-workers
. Knowledge of eCW

Essential Functions
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1 . Assign codes lo diagnoses and procedures, using ICD (international Classification of
Diseases) and CPT (Current Procedural Terminology) codes

2. Provides regular feedback to leadership on performance improvement opportunities
3. Ensures code are accurate and sequenced correctly in accordance with government and insurance regulations
4. Follow up with the provider/s on any documentation that is insufficient or unclear
5. Attends training events to stay up to date on regulation and the latest revisions to documentation and coding systems.
6. Complying with medical coding guidelines and policies
7. Communicate with other clinical staff regarding documentation
8. Search for information in cases where the coding is complex or unusual
9. Ensure that all codes are current and active as well as associated charges
10. Other projects and/or duties as required

Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice

AAP/EEO Statement
PATHS' provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Job Type: Full-time

Pay: $16.50 - $18.00 per hour

Benefits:
* 401(k) matching
* Dental insurance
* Employee assistance program
* Health insurance
* Life insurance
* Paid time off
* Vision insurance
Schedule:
* Day shift



Education:
* High school or equivalent (Preferred)

Experience:
* ICD-10: 2 years (Preferred)

License/Certification:
* CPC or CPC-A or CEMC Certification (Preferred)


Work Location: In person