Certified Coder

 

Under general supervision, to perform advanced coding and abstracting of Federally Qualified Health Centers (FQHCs) outpatient medical record entries according to the most current edition of International Classification of Diseases Clinical Modification System (ICD-CM), Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), and to do other work as required. 

Certified coders perform the most complex coding and abstracting of patient records in the billing department for Federally Qualified Health Centers (FQHCs), contract medical, dental and hospital patients. The coder class is distinguished from other biller positions in the billing department with the submission of a current valid coder certification through the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) and meet the minimum qualifications for this class with a satisfactory performance evaluation.

Compensation: 

Hourly: $28.11 - $31.58

• Codes medical and dental record entries pertaining to diagnoses and procedures according to the most current edition of ICD-CM, CPT, and HCPCS level II coding systems; enters into the designated computer system when necessary.
• Queries physicians when assistance is needed for proper identification of codes for diagnoses or procedures; communicates with physicians, and others involved in the treatment of patients as needed. 
• Assists in the training and education of clinical staff and billing staff with coding inquires as a coding subject matter expert.
• Must maintain current coding certification and professional and ethical standards.
• Will be subject to random coding accuracy audits and must maintain a 95% coding accuracy rate.

 

• Associate degree or equivalent from two-year college and one to three years related experience and/or training, credentials, certificates; or equivalent combination of education and experience.
• Equivalent Experience includes the following: One to three years of coding experience in a FQHC setting using ICD-CM, CPT, and HCPCS level II coding is highly preferred.  Coding experience needs to have been within the last two years.
• One to three years’ experience working in FQHC medical billing environment preferred.

• Knowledge of: A thorough knowledge of ICD-CM, CPT, and HCPCS level II classification coding systems. Must have knowledge of the fundamentals of anatomy, physiology, and the study of diseases; standard clerical office procedures and equipment including Windows-based software use. 
• Ability to: Utilize the ICD-CM, CPT, and HCPCS level II classification system to code medical record entries either by use of coding books; abstract pertinent information from medical records; follow oral and written instructions; operate PC with Windows software; effectively communicate technical information to medical and administrative personnel; maintain effective working relationships with others.

License/Certificate:

• Possession of current valid certification as a Certified Coding Specialist (CCS) or Certified Coding Associate (CCA) or Certified Coding Specialist-Physician based (CCS-P) issued by American Health Information Management Association OR Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) issued by the American Academy of Professional Coders is required.