[Hiring] Certified Professional Coder @Children's Clinic PC

Role Description

The Certified Professional Coder is responsible for ensuring accurate, timely, and compliant coding and charge capture of all assigned claims while ensuring compliance with ICD-10, CPT, and HCPCS guidelines. This position supports revenue cycle performance by:

• Reviewing charge sessions in Epic Charge Review
• Auditing auto-released claims
• Resolving coding-related denials and claim edits
• Providing monthly education and performance feedback to assigned providers

Qualifications

• Minimum: High School Diploma or equivalent and graduate of a Medical Coding Program
• Minimum Work Experience: Three (3) years of progressive coding experience
• Preferred Work Experience: Two (2) years of progressive coding experience in a pediatric care setting
• Certifications: Certified Coding Associate (CCA), Certified Coding Specialist (CCS)

Requirements

• Knowledge of current Official Coding Guidelines and methodologies, MS-DRG, APR-DRG, ICD-10-CM/PCS coding guidelines and conventions
• Extensive knowledge of medical terminology, anatomy and pathophysiology, pharmacology, and ancillary test results
• Demonstrates critical thinking skills and ability to interpret, assess, and evaluate provider documentation
• Advanced knowledge of pediatric coding and documentation requirements
• Knowledgeable in Epic Charge Review workflows
• Proficient with Microsoft Office applications (Outlook, Word, Excel)

Benefits

• High-volume pediatric ambulatory practice supporting approximately 7500-9500 professional visits per month with other coders
• Primarily computer-based work utilizing Epic Professional Billing
• Frequent collaboration with providers, clinical leadership, and Revenue Cycle teams
• Remote work based on organizational policy
• Immunizations are a requirement for employment to help ensure a safe and healthy workplace by reducing the risk of communicable diseases
• TCC requires proof of vaccination including MMR, Hepatitis B, Tdap, Varicella, Influenza, and TB Screening