Certified Coder I

Role Summary

The Certified Medical Coder I is responsible for maintaining regulatory compliance to all applicable regulatory requirements.

Responsibilities

• Reviews case documentation to confirm patient demographics and enter insurance information received for every case.
• Reviews completed patient reports to enter the appropriate diagnosis codes in accordance with established SOP‚Äôs and healthcare guidelines.
• Maintains regulatory compliance to all applicable regulatory requirements (CLIA, NYS, CAP, FDA, ISO, etc.).

Qualifications

• Required: High school diploma and completion of Medical Coding course.
• Required: 0-2 years of experience in medical coding. Completion of medical coding courses and certification are required.
• Required: Must hold an active medical coding certification through AAPC or AHIMA.
• Required: Must have a solid foundation of knowledge regarding medical terminology and anatomy.
• Required: Ability to multi-task and work in a fast-past, deadline driven environment.
• Required: Enthusiasm and dedication to meeting group objectives.
• Required: Consistently exhibits a professional demeanor in the workplace and works to maintain positive relationships.
• Required: Ability to work under routine and stressful situations in an accurate and timely manner.
• Required: Effective verbal and written communication skills. Proven attention to detail with effective organizational skills.
• Required: Effective interpersonal and team skills.
• Required: Proficient in Microsoft Office Suite, specifically Word, Excel, Outlook, and general working knowledge of Internet for business use.
• Required: Drive for Results (Service, Quality, and Continuous Improvement) ‚Äì Ensure procedures and processes are in place that lead to delivery of quality results and continually reassess their effectiveness to achieve continuous improvement.
• Required: Communication ‚Äì Proficient verbal and written communication skills. Willingness to share and receive information and ideas from all levels of the organization to achieve the desired results.
• Required: Teamwork ‚Äì Commitment to the successful achievement of team and organizational goals through a desire to participate with and help other members of the team.
• Required: Customer Service Focus ‚Äì Demonstrate a focus on listening to and understanding client/customer needs and then delighting the client/customer by exceeding service and quality expectations.

Skills

• Medical terminology and anatomy knowledge
• Regulatory compliance awareness
• Microsoft Office proficiency
• Communication and interpersonal skills

Education

• High school diploma and completion of Medical Coding course
• Active medical coding certification (AAPC or AHIMA)

Additional Requirements

• Preferred: Knowledge of healthcare insurance plans.
• Preferred: Experience in regulated environments (CLIA, NYS, CAP, FDA, ISO).
• Preferred: Experience with ICD-10 and HCPCS coding systems.
• Preferred: Knowledge of laboratory safety procedures and quality control regulations.