Job Summary The Certified Professional Coder (Onsite) performs detailed review of provider documentation and dictation to validate and assign accurate ICD-9 and CPT codes for surgically complex cases such as Neurosurgery and Cardiothoracic Surgery. The role also manages billing processes, authorizations, and provides thorough reporting and communication with physicians.
Responsibilities Review provider documentation/dictation to validate appropriate codes for surgically complex cases.
Research and determine correct code selection.
Manage work queues, post charges into the Practice Management System for provider hospital and office billing, and validate documentation with correct dates of service.
Provide codes for surgical cases for insurance authorization.
Run reports (e.g., Charge Summary) as needed for physician review and CBO.
Maintain spreadsheets tracking authorizations and surgical cases/procedures.
Communicate positively with physicians regarding code rationale.
Relay messages to providers.
Perform general clerical duties including internal/external correspondence and answering telephones.
Complete required forms or letters as necessary.
Perform other duties as assigned.
Qualifications High school diploma or GED required.
12‑18 months coding experience in a health‑care setting preferred.
Certified Professional Coder (CPC) or Registered Health Information Technician (RHIT) required within 12 months of hire.
Working knowledge of ICD‑9 and CPT coding with emphasis on specialty area.
Strong medical terminology skills.
Proficiency with word processing, spreadsheets, presentation programs, databases, and related software.
Excellent communication skills (oral, written, and interpersonal) and positive customer‑relations orientation.
Ability to work independently and demonstrate effective problem‑solving.
Work Schedule First Shift, Full time. Scheduled weekly hours: 40. Cost Center: 1401 HIM Coding and Charging (BHG).
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