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 SOPs 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) – 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 – 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 – 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 – Demonstrate a focus on listening to and understanding client/customer needs and then delighting the client/customer by exceeding service and quality expectations.
• Preferred: Knowledge of healthcare insurance plans.
• Preferred: Experience working in a regulated environment preferred (CLIA, NYS, CAP, FDA, ISO, etc.).
• Preferred: Significant experience working with ICD-10 codes.
• Preferred: Experience working with different coding systems, including Level 1 HCPCS and Level 2 HCPCS.
• Preferred: Knowledge of laboratory safety procedures for biohazards and chemicals, as well as quality control procedures and regulations.

Additional Requirements

• Physical Demands: Must possess ability to sit, stand, and/or work at a computer for long periods of time.
• Visual acuity and analytical skill to distinguish fine detail. Ability to pass a visual color discrimination test.
• Training: All job specific, safety, and compliance training are assigned based on the job functions associated with this employee.