- Reviews medical record documentation to determine appropriate billing codes and necessary documentation
- Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-10 code
- Meets with physicians to review documentation, resolve coding and secure signatures of all unsigned dates of service
- Acts as lead person and assists coders with medical terminology and policy interpretation
- Assists with efforts to increase physician awareness of documentation requirements
- Prepares case reports and initiates follow-up for billing process
- Performs other duties as assigned
Requirements
- Must have one of the following coding credentials: AHIMA (CCA, CCS, or CCS-P); AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or one of the AAPC specialty-specific coding credentials)
- Previous coding experience or experience equivalent to an associate’s degree in a related field preferred
- Knowledge of ICD-10 and CPT coding preferred
- Computer Systems proficiency
- Medical Billing and Coding skills
- Medical Terminology knowledge
Hard Skills
- ICD-10 coding
- CPT coding
- medical billing
- medical coding
- case report preparation
- documentation review
- coding policy interpretation
- billing process follow-up
Soft Skills
- leadership
- communication
- interpersonal skills
- problem‑solving
Certifications & Qualifications
- AHIMA CCA
- AHIMA CCS
- AHIMA CCS-P
- AAPC CPC
- AAPC CPC-A
- AAPC CPC-H
- AAPC CPC-H-A
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