Certified Medical Coder

About Company:

As one of the largest primary care practices in Southwest Georgia, Albany Area Primary Health Care (AAPHC) provides health care services to more than 54,000 patients and nearly 217,000 office visits per year. AAPHC is also one of the largest Community Health Centers in our region! To learn more about Community Health Centers, and how this benefits Southwest Georgia.

At AAPHC, we strive to provide comprehensive, coordinated, and continuous care to all who access our services. Did you know that all qualifying medical offices operated by AAPHC are recognized as a Level III Patient Centered Medical Home (PCMH) by the National Center for Quality Assurance (NCQA)? NCQA offers three levels of PCMH recognition with Level III being the highest level. As a Level III PCMH, AAPHC is committed to continuously raising the quality of care within our practices, while also lowering our patients health care costs.

Our health care teams are comprised of physicians, physician assistants, nurse practitioners, and nurse midwives. Assisting these providers are clinical staff members, laboratory personnel, and business office professionals.

Our goal is to always provide access, and even expand access, to your provider so you always can reach AAPHC when you need us most! When you visit an AAPHC office, you can trust that you'll be well cared for by our team. Always.

About the Role:

The Certified Coder plays a critical role in the healthcare industry by accurately translating medical documentation into standardized codes used for billing, reporting, and compliance purposes. This position ensures that patient records are meticulously reviewed and coded in accordance with current medical coding guidelines and regulations, directly impacting reimbursement and data quality. The role requires a deep understanding of medical terminology, anatomy, and healthcare procedures to maintain coding accuracy and integrity. The Certified Coder collaborates closely with healthcare providers, billing departments, and compliance teams to support efficient revenue cycle management and regulatory adherence. Ultimately, this position contributes to the overall operational success of healthcare organizations by facilitating precise medical record keeping and coding compliance within the United States healthcare system.

Minimum Qualifications:

• Certification as a professional medical coder (e.g., CPC, CCS, or equivalent).
• Demonstrated proficiency in medical coding compliance and regulatory standards.
• Experience with medical records filing and management in a healthcare setting.
• Strong computer skills, including familiarity with electronic health record (EHR) systems and coding software.
• Knowledge of anatomy, medical terminology, and healthcare billing processes.

Preferred Qualifications:

• Experience working within the United States healthcare system and familiarity with payer-specific coding requirements.
• Additional certifications related to specialty coding areas (e.g., inpatient, outpatient, or specialty-specific coding).
• Prior experience in a hospital, clinic, or health insurance environment.
• Advanced training in healthcare compliance and auditing.
• Proficiency with data analytics tools to support coding accuracy and reporting.

Responsibilities:

• Review and analyze medical records and documentation to assign appropriate ICD, CPT, and HCPCS codes.
• Ensure compliance with federal, state, and payer-specific coding regulations and guidelines.
• Maintain accurate and organized medical records filing systems to support coding and billing processes.
• Collaborate with healthcare providers and administrative staff to clarify documentation and resolve coding discrepancies.
• Stay current with changes in coding standards, healthcare regulations, and industry best practices through continuous education.
• Other duties as assigned.

Skills:

The Certified Coder utilizes medical records filing skills daily to organize and retrieve patient documentation efficiently, ensuring seamless access for coding and billing purposes. Computer proficiency is essential for navigating electronic health record systems, coding software, and compliance databases, enabling accurate and timely code assignment. Medical coding compliance knowledge is applied rigorously to interpret and implement coding guidelines, minimizing errors and supporting regulatory adherence. Effective communication skills facilitate collaboration with healthcare providers to clarify documentation and resolve coding issues. Continuous learning and adaptability allow the coder to stay updated on evolving coding standards and healthcare regulations, maintaining high-quality coding practices.