Pinehurst Surgical Clinic

JOB SUMMARY The Certified Coder is responsible for applying accurate diagnostic and procedural codes (ICD-10-CM, CPT, HCPCS) to patient health records to optimize reimbursement and ensure claims are submitted correctly. They are also responsible for managing and maintaining patient accounts as assigned by the Accounts Receivable Manager. This position works closely with internal and external customers to resolve unpaid claims, insurance discrepancies, and patient balances through timely and accurate follow-up. The goal of this role is to maximize reimbursement, ensure correct insurance payments, and uphold the principles of the "Flawless Reimbursement" system. RESPONSIBILITIES Coding Review patient records for completeness, documentation accuracy, and proper signatures. Apply ICD-10-CM, CPT, and HCPCS codes to ensure accurate claims and optimal reimbursement. Analyze provider documentation to assign correct Evaluation & Management (E&M) levels; query physicians when...

Pinehurst Surgical Clinic is seeking a Certified Coder to accurately code patient records, optimizing reimbursement and ensuring compliance. Responsibilities include reviewing documentation, resolving unpaid claims, and handling billing inquiries. The ideal candidate should have a high school diploma, relevant coding certification, and 1-3 years of experience. Strong analytical and customer service skills are essential in a fast-paced healthcare environment. #J-18808-Ljbffr