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
Location:
Onsite
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
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Clinician audits for correct coding and optimal reimbursement (Random Audits)
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Provider education to clinicians with coding/documentation
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Reports quarterly on Bell Curves
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Possesses expertise in ICD-10, CPT, and HCPCS codes, as well as HIPAA regulations and LCD/NCCI edits.
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Responsible for Work Lists in EMR-
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Coding claim edits/denials
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Follow Official Coding Guidelines
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CMS and AMA rules
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National Correct Coding Initiative (NCCI) edits
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Local Coverage Determinations (LCDs)
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Official Guidelines for Coding and Reporting
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Maintain a compliance program
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Policies & Procedures
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Compliance Officer
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Training
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Monitoring & Auditing
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Reporting Systems
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Response & Prevention
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Report upcoming CPT and ICD-10 changes
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Complies with all company policies and procedures.
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Provides back up and support to team members as necessary.
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Maintain CE (Continuing Education) certificates, copies to manager
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All other duties as assigned by the Business Office Manager
Performance Requirements:
Knowledge:
- Knowledge of billing practices and clinic policies and procedures.
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Knowledge of coding and clinic operating policies.
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Knowledge of medical terminology.
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Knowledge of insurance industry.
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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.
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Skills in organization.
Abilities:
- Ability to understand and interpret policies and regulations.
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Ability to prepare documents in response to complaints and inquiries.
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Ability to accurately enter data.
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Ability to examine documents for accuracy and completeness.
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Ability to read, understand, and follow oral and written instruction.
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Ability to sort and file materials correctly by alphabetical or numeric system.
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Ability to communicate effectively and work with others.
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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
