Description Are you Compassionate, Collaborative, Respectful and strive for Excellence?
If so, you share our CORE Values and we invite you to join our team as a Business Office Representative.
Certified Coder Reports to: Business Office Manager
Organizational Peers: Business Office Personnel
Direct Reports: N/A
Position Details: Non Exempt, Full Time, M-F, 40 hours a week
Pay Range: $25.75-33.99/hour
Job Summary: Responsible for precise and accurate translation of patient medical records into CPT, ICD-10-CM, and HCPCS codes within an office environment as well as conducting provider audits.
Essential Job Responsibilities: - New Clinician Audits
- Clinician audits for correct coding and optimal reimbursement (Random Audits)
- Provider education to clinicians with coding/documentation
- Reports quarterly on Bell Curves
- Possesses expertise in ICD-10, CPT, and HCPCS codes, as well as HIPAA regulations and LCD/NCCI edits.
- Responsible for Work Lists in EMR-
- Coding claim edits/denials
- Follow Official Coding Guidelines
- CMS and AMA rules
- National Correct Coding Initiative (NCCI) edits
- Local Coverage Determinations (LCDs)
- Official Guidelines for Coding and Reporting
- Maintain a compliance program
- Policies & Procedures
- Compliance Officer
- Training
- Monitoring & Auditing
- Reporting Systems
- Response & Prevention
- Report upcoming CPT and ICD-10 changes
- Complies with all company policies and procedures.
- Provides back up and support to team members as necessary.
- Maintain CE (Continuing Education) certificates, copies to manager
- All other duties as assigned by the Business Office Manager
Performance Requirements: Knowledge:
- Knowledge of billing practices and clinic policies and procedures.
- Knowledge of coding and clinic operating policies.
- Knowledge of medical terminology.
- Knowledge of insurance industry.
- Knowledge of grammar, spelling, and punctuation.
Skills:
- Skill in establishing and maintaining positive, effective, internal and external working relationships.
- Skill in written and verbal communication.
- Skills in organization.
Abilities:
- Ability to understand and interpret policies and regulations.
- Ability to prepare documents in response to complaints and inquiries.
- Ability to accurately enter data.
- Ability to examine documents for accuracy and completeness.
- Ability to read, understand, and follow oral and written instruction.
- Ability to sort and file materials correctly by alphabetical or numeric system.
- Ability to communicate effectively and work with others.
- Ability to multitask.
Education: AAPC or AHIMA Certification. Must maintain yearly continuing education requirements.
Experience: Preferred minimum of one year billing/coding experience in health care organization.
I am able to perform these tasks without accommodation. _____Yes _____No
If no, list required accommodations:
I have read and understand the above job description, and I accept all the responsibilities of the position.
____________________________________ ___________________
Employee's signature Date
Responsibility for Review and Maintenance:
Date Initiated: 2009
Date Revised: 10/2025