Professional Coder

The Professional Coder will review, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by providers to assure compliant with federal and state regulations and insurance carrier guidelines. Perform accurate and compliant coding of CPT and ICD-10 diagnosis codes.

Requirements

• Effectively reviews, analyzes, and validates CPT, ICD-10 diagnosis codes, HCPCS, modifiers and charges applied by providers
• Perform accurate and compliant coding of CPT and ICD-10 diagnosis codes
• Ensure established productivity and quality standards are met
• Review denials, research and respond appropriately and timely
• Perform audits as determined by management
• Assist with all levels of application testing for identified coding workflows
• Attend and contribute to all PCO staff meetings, department meetings and all other meetings assigned
• Assume responsibility for professional development by participating in webinars, workshops, and conferences when appropriate
• Interact with providers and their staff to support accuracy and specificity in documentation and procedural and diagnostic coding
• All other duties as assigned