Who are we?
We’ve been treating pain effectively through minimally invasive techniques since 1992. At American Pain Consortium (APC), our mission is to empower our providers, including board-certified pain management physicians, with exceptional patient care. We are driven to deliver a national platform for like-minded interventional pain providers seeking to help patients find symptom relief and lead a better quality of life. We invest in the people, processes, systems, credentials, and facilities that consistently yield exceptional medical, operational, and financial outcomes. Our footprint includes clinic and ambulatory surgery centers throughout Indiana and Ohio.
As an employer, we help our team to reach their maximum professional potential and create an environment conducive to our shared success. Our “why” centers around our 7 inspirations: the pursuit of excellence, empathy in everything we do, a culture of collaboration, open communication, creating a space for belonging, and ongoing innovation, which yields the result of bringing value.
What do we do?
Our goal at American Pain Consortium is to support our clinics that help patients seeking relief from pain, numbness, and tingling sensations that are often related to neuropathic pain or neuropathy, among many other forms of chronic pain. Even patients who have tried other pain treatments without success often benefit significantly from safe, effective treatment at American Pain Consortium. Our clinical multidisciplinary approach to care delivers the correct intervention to every patient, every time through various pain management procedures including injections, open surgical cases with general anesthesia, physical therapy, and psychological services. Our Providers focus on helping individuals improve functionality to restore a more meaningful lifestyle.
APC values individuals with a strong work-ethic, embracing why they want to serve in the healthcare industry while maintaining a work, family, and life balance. APC is seeking an individual who is eager to learn, develop, and grow in a role in their Billing Department located in their Support Office in Carmel, IN.
Job Summary
The Professional Coding Specialist is responsible for reviewing patients’ medical records following clinical visits and accurately translating the documented services into standardized codes used by insurance companies to process claims. Key responsibilities include verifying treatments and procedures with medical staff, identifying and resolving any missing or incomplete documentation, and submitting accurate coding and claim forms for reimbursement. This position requires active certification in professional coding.
Essential Duties & Responsibilities (What You’ll Do)
- Review medical documentation to ensure accurate CPT, ICD-10, and modifier assignment in alignment with services rendered and billing guidelines. Confirm discrepancies with the clinical care provider and escalate unresolved issues to the immediate supervisor.
- Provide coding education, cross-functional training, and ongoing support to teams interacting with the charge entry process, both upstream and downstream.
- Serve as a backup to the billing team during periods of high volume or staff absence to ensure timely and consistent claims processing.
- Verify encounter tracking aligns with the volume of charges entered. Investigate and resolve discrepancies to prevent missed charge entries and report unresolved issues to the immediate supervisor.
- Identify and promptly report any compliance concerns, regulatory issues, or risk indicators to the immediate supervisor or compliance department for appropriate investigation and remediation.
- Monitor, track, and resolve coding-related denials. Identify and analyze denial trends for proactive resolution and long-term prevention strategies.
- Import charges electronically or manually from the prior day into the billing system. Maintain consistent daily workflow to ensure timely charge entry and avoid delays in claim submission.
- Foster positive and effective working relationships with team members throughout the revenue cycle to support coordinated operations and accurate charge entry.
- Identify and communicate issues in coding and charge entry originating upstream in the workflow to promote early intervention and resolution.
- Collaborate with relevant stakeholders to address root cause issues and recommend sustainable process improvements.
- Enter and verify the accuracy of patient demographic and insurance information to avoid delays in claim adjudication.
- Other duties as assigned.
Minimum Qualifications (What We Are Looking For)
- Excellent verbal and written communication skills.
- Excellent interpersonal and customer service skills.
- Excellent organizational skills and attention to detail.
- Excellent time management skills with a proven ability to meet deadlines.
- Strong analytical and problem-solving skills.
- Ability to prioritize tasks and to delegate them when appropriate.
- Ability to function well in a high-paced and at times stressful environment.
- Proficient with Microsoft Office Suite or related software.
Education and/or Experience Requirements
- CPC or CPC-A required
- High school diploma required
- Working knowledge of compliance and regulations that relate to job performance as well as payer, charge, and claim format requirements.
- 2 years of charge entry/coding experience preferred
Competencies
To perform the job successfully, an individual should demonstrate the following, which is included, but not limited, to:
- Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.
- Customer Service - Responds promptly to customer needs; Responds to requests for service and assistance; Meets commitments.
- Respect for Others - Treats patients, physicians, and colleagues in a professional, respectful, compassionate manner
- Respect for Privacy - Handles all patient, company, and staff information in a confidential manner compliant with all state and federal regulations and the APC Code of Conduct.
Physical Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Standing and/or walking 10% of time
- Sitting 90% of the time
- Occasional lifting, stooping, kneeling, crouching, and reaching.
Supervisory Responsibilities
This position has no supervisory responsibilities
Benefits (Work Perks)
Included for all full-time positions
- Medical, Dental, and Vision Insurance
- Paid Time Off
- Paid Holidays
- Matching 401K plan
- Other
Equal Employment Opportunity
American Pain Consortium Management, its affiliates, and subsidiaries are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, protected veteran status, national origin, sexual orientation, gender identity or expression (including transgender status), genetic information or any other characteristic protected by applicable law.
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
Application Question(s):
- What are your salary expectations?
- Have you passed your CPC exam from AAPC or CCS exam from AHIMA?
- What is your AAPC or AHIMA member/credential number?
Education:
- High school or equivalent (Required)
Experience:
- Charge entry/Coding : 2 years (Preferred)
License/Certification:
- Certified Professional Coder license (Required)
Work Location: In person
