The Coder I is responsible for abstracting and assigning valid CPT, ICD-9/10, and HCPCS codes to ensure appropriate reimbursement in accordance with federal, state, and private health plans as well as organization and regulatory guidance. This position is responsible for identifying compliance concerns, trends, and educational opportunities to ensure proper coding, documentation, and accuracy of billing within their areas of responsibility/specialty. The Coder I is able to work independently with limited oversight and may require directions from supervisor or more senior co-workers on complex cases.

Essential Key Job Responsibilities

• Accurately abstracts information from the service documentation, assigns and sequences appropriate CPT, ICD-9/10, and HCPCS codes into the appropriate billing systems, ensuring compliance with established guidelines.
• Communicates professionally with providers, practice management, and other stake holders either verbally or in writing.
• Responsible for working encounters in the coding work queue or task lists in a timely manner.
• Meets or exceeds organizational coding production and quality standards.
• Understands and applies regulatory changes and stays current with coding updates, for example NCCI and MUE edits.
• Reviews and resolves coding denials.
• Participates in special projects and completes other duties as assigned

• High school diploma or equivalent required.
• Coding Certification through American Health Information Management Association (AHIMA) as Certified Coding Specialist (CCS) or Certified Coding Specialist Physician Based (CCS-P)
  or the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) required. (AAPC) as a Certified Professional Coder (CPC) required.

• One year multi-specialty physician coding preferred
• Previous Electronic Health Record experience preferred.