Certified Professional Coder

Job Description Certified Professional Coder (CPC) / Certified Outpatient Coder (COC) Come Join Our Winning Team! Centers for Pain Control and Interventional Pain Management has 4 locations throughout Northwest Indiana. We are continually committed to providing the best comprehensive pain management services to our patients! As part of our ongoing dedication to comprehensive patient care, Centers for Pain Control expanded its services to include treatment of vein disease in the legs, including varicose veins, spider veins, restless leg syndrome and more! Reporting to the Billing Manager, the professional coder is responsible for reviewing clinical documentation to abstract and/or validate CPT and ICD-10 coding for office based and outpatient professional services. •We will consider a 100% remote schedule for highly qualified candidates•Job Duties include but are not limited to: Reviews all operative notes and applies appropriate procedural and diagnoses codes. Confirms all encounter and procedure charges are accurate and complete before submission. Edits claims for modifier, coding, and bundling errors. Ensures all coding and documentation meets all payer guidelines and standards. Reviews visit notes and operative notes, adding appropriate modifiers as needed. Identifies billing and documentation errors and can collaborate with the providers and managers to correct error rates. Corrects and appeals denied claims. Analyzes denials and processes appeals accordingly. Attaches appropriate medical records to claims as required by payers. Interacts with patients, government, and third-party payers to respond to requests. Remains current with regulatory requirements and business strategies related to billing.

Experience:

Expert knowledge of billing CPT, HCPCS, and ICD-10 coding systems. Understanding of government and third-party payer billing submission processes including

HCFA/UB92

form submission. Strong comprehension of medical terminology with a strong focus on spine and skeletal system. Detail oriented with a high level of problem-solving skills. Ability to share knowledge with team, strong verbal and written communication skills.

Job Requirements:

Two or more years of coding experience as a CPC or COC is required. Experience coding and billing for pain management, vascular surgery, interventional radiology, and/or ambulatory surgery centers is preferred. Must have hands-on experience with electronic claims management utilizing medical billing and (EMR) electronic medical record software systems. Athena-One experience preferred.

Benefits:

Dental insurance Employee assistance program Health insurance Life insurance Paid time off Vision insurance

Experience:

ICD-10: 1 year (Preferred)

CPT Coding:

1 year (Preferred) Medical billing: 1 year (Preferred)

Location:

Valparaiso, IN 46383 (Required)

Work Location:

In person Certified Professional Coder 2.0 2.0 out of 5 stars 2500 Calumet Avenue, Valparaiso, IN 46383 Full-time Centers for Pain Control and Vein Care 2 reviews Full-time Job Description Certified Professional Coder (CPC) / Certified Outpatient Coder (COC) Come Join Our Winning Team! Centers for Pain Control and Interventional Pain Management has 4 locations throughout Northwest Indiana. We are continually committed to providing the best comprehensive pain management services to our patients! As part of our ongoing dedication to comprehensive patient care, Centers for Pain Control expanded its services to include treatment of vein disease in the legs, including varicose veins, spider veins, restless leg syndrome and more! Reporting to the Billing Manager, the professional coder is responsible for reviewing clinical documentation to abstract and/or validate CPT and ICD-10 coding for office based and outpatient professional services. •We will consider a 100% remote schedule for highly qualified candidates•Job Duties include but are not limited to: Reviews all operative notes and applies appropriate procedural and diagnoses codes. Confirms all encounter and procedure charges are accurate and complete before submission. Edits claims for modifier, coding, and bundling errors. Ensures all coding and documentation meets all payer guidelines and standards. Reviews visit notes and operative notes, adding appropriate modifiers as needed. Identifies billing and documentation errors and can collaborate with the providers and managers to correct error rates. Corrects and appeals denied claims. Analyzes denials and processes appeals accordingly. Attaches appropriate medical records to claims as required by payers. Interacts with patients, government, and third-party payers to respond to requests. Remains current with regulatory requirements and business strategies related to billing.

Experience:

Expert knowledge of billing CPT, HCPCS, and ICD-10 coding systems. Understanding of government and third-party payer billing submission processes including

HCFA/UB92

form submission. Strong comprehension of medical terminology with a strong focus on spine and skeletal system. Detail oriented with a high level of problem-solving skills. Ability to share knowledge with team, strong verbal and written communication skills.

Job Requirements:

Two or more years of coding experience as a CPC or COC is required. Experience coding and billing for pain management, vascular surgery, interventional radiology, and/or ambulatory surgery centers is preferred. Must have hands-on experience with electronic claims management utilizing medical billing and (EMR) electronic medical record software systems. Athena-One experience preferred.

Benefits:

Dental insurance Employee assistance program Health insurance Life insurance Paid time off Vision insurance

Experience:

ICD-10: 1 year (Preferred)

CPT Coding:

1 year (Preferred) Medical billing: 1 year (Preferred)

Location:

Valparaiso, IN 46383 (Required)

Work Location:

In person