Job Description
Position Summary:
The Certified Professional Coder is responsible for accurate coding of office, hospital and medical procedures.
Key duties include:
Reviewing codes submitted by physicians to assure accurate assignment of ICD-10-CM and CPT codes for inpatient/outpatient charges
Maintains compliance with Federal, State and payer regulations
Ability to review and analyze encounters, reports and other medical records to determine the appropriate diagnosis and procedure codes to describe the level of service and surgical professional services provided
Abstracts the appropriate evaluation and management level of service from the medical record per CPT instructions
Understands and adheres to CPT and ICD-10-CM instructions, the appropriate use of modifiers, and multiple or add-on procedures
Assures healthcare providers compliance with official coding guidelines including but not limited to Medicare and AHCCCS requirements for coding and billing
Identifies and educates healthcare providers on additional revenue opportunities.
Other tasks as assigned
Qualifications
Desired Skills and Experience:
Current CPC certification
2+ years of medical coding
In-depth knowledge of billing software
Professional attitude
Ability to solve problems, prioritize and multi-task in a deadline driven environment
Ability to make independent decisions regarding matters of significance
Work with little to no supervision
Able to work in a team environment and interact positively with team members
Goal oriented, with excellent time management and organizational skills
Excellent interpersonal skills, with ability to interact effectively and work efficiently with people at all levels in an organization
Excellent verbal & written communication skills
Keenly attentive to detail
Ability to keep sensitive information confidential
High level of proficiency with PC based software programs
Education
High school diploma or equivalent
Certified Professional Coder (CPC) required.Company Description
Credence Global Solutions (“CGS”) is a Dallas, Texas based diversified technology driven financial transformation company with deep expertise in receivables management and voice based BPO. With focus on Receivables Management, Healthcare RCM, Technology Platforms and Contact Center verticals, CGS services leading telecommunication, healthcare, and media companies.
Healthcare providers serviced by CGS include medical transport providers, emergency physicians, health infusion service providers and diagnostic laboratories. In the telecommunication vertical, CGS serves four of the top five providers in United States.
Credence Resource Management is the flagship company of the Credence Group.
Our mantra is Excellence Beyond Belief. Challenges, growth opportunities and a passion for the Job enables us to repeatedly deliver excellence to our clients. Our teams are encouraged to continually explore their talents and pursue their interests, giving them the authority to gain knowledge and skills to truly be the expert in their domain. We strive to bring on the best and brightest, as well as to invest in their training and education, making them a seamless extension of your team.
Headquartered in Dallas TX, we have delivery offices in San Jose CA; Natchez MS; Mesa AZ & Pune India. Visit to know more about the company.
Full-time