Medical Coder
JOB TITLE: Certified Coder                                                                                            DEPARTMENT: Itemization Review REPORTS TO: Itemization Review SupervisorGENERAL DESCRIPTION:Reverse code previously coded medical bills to determine coding accuracy. DUTIES AND RESPONSIBILITIES:Receives claim and processes based on state rules and regulationsDetermine validity and compensability of the claim using proprietary programsMake recommendations to referring officeCommunicate claim status with referring officeRead and comprehend all medical AAPC reportsAdhere to client and carrier guidelines and participate in claims review as neededAssists other claims professionals with more complex or problematic claims as necessaryAdditional duties/responsibilities as assignedComply with all safety rules/regulations, in conjunction with the Injury and Illness Prevention Program (“IIPP”), as well as, maintain HIPAA complianceQUALIFICATIONS:High School diploma, or equivalentCurrent AAPC certification (which must be maintained throughout employment as current and active status)Certification as CPC with the AAPC for more than 5 years (w/ surgical or office experience)Current or recent orthopedic billing/coding experienceE/M coding/down-coding experienceEncoderPro software experienceTexas workers compensation experience is preferredPain Management/Anesthesia/General Surgery coding experience is preferredAbility to learn rapidly to develop knowledge and understanding of claims practiceStrong organizational skillsAbility to meet or exceed performance competenciesEffective and professional communication skillsAbility to handle stressful situations, and use critical and strategic thinkingDemonstrated outstanding leadership, problem solving, and analytical skillsAbility to think and work independently, while working in an overall team environmentProficient in Microsoft Office Suite   
Title: Medical Coder
Salary: 65000-70000
Description: JOB TITLE: Certified Coder                                                                                            DEPARTMENT: Itemization Review REPORTS TO: Itemization Review SupervisorGENERAL DESCRIPTION:Reverse code previously coded medical bills to determine coding accuracy. DUTIES AND RESPONSIBILITIES:Receives claim and processes based on state rules and regulationsDetermine validity and compensability of the claim using proprietary programsMake recommendations to referring officeCommunicate claim status with referring officeRead and comprehend all medical AAPC reportsAdhere to client and carrier guidelines and participate in claims review as neededAssists other claims professionals with more complex or problematic claims as necessaryAdditional duties/responsibilities as assignedComply with all safety rules/regulations, in conjunction with the Injury and Illness Prevention Program (“IIPP”), as well as, maintain HIPAA complianceQUALIFICATIONS:High School diploma, or equivalentCurrent AAPC certification (which must be maintained throughout employment as current and active status)Certification as CPC with the AAPC for more than 5 years (w/ surgical or office experience)Current or recent orthopedic billing/coding experienceE/M coding/down-coding experienceEncoderPro software experienceTexas workers compensation experience is preferredPain Management/Anesthesia/General Surgery coding experience is preferredAbility to learn rapidly to develop knowledge and understanding of claims practiceStrong organizational skillsAbility to meet or exceed performance competenciesEffective and professional communication skillsAbility to handle stressful situations, and use critical and strategic thinkingDemonstrated outstanding leadership, problem solving, and analytical skillsAbility to think and work independently, while working in an overall team environmentProficient in Microsoft Office Suite   
Requirements: Associate experience, High School or equivalent education
Fraudulent: No