Position Summary

The Certified Professional Coder (CPC) / Uncertified Coder is responsible for reviewing, researching, and accurately coding office, surgical, and procedural documentation. This role ensures proper assignment of CPT, ICD-10, and HCPCS codes in compliance with CMS guidelines and supports accurate billing, reimbursement, and regulatory adherence while collaborating with providers and administrative staff.

Primary Responsibilities

• Accurately assign CPT, ICD-10, HCPCS codes, and modifiers based on provider documentation.
• Ensure coding, charges, and documentation comply with applicable guidelines and standards.
• Review and resolve A/R queues, denials, and coding-related errors in a timely manner.
• Collaborate with providers and staff to clarify documentation and resolve coding issues.
• Provide feedback and education to providers regarding coding requirements and updates.
• Stay current with CMS guidelines and insurance billing requirements.
• Review third-party reimbursements to ensure proper coding and payment accuracy.
• Meet established productivity and month-end performance requirements.
• Maintain professional communication and represent the organization in a courteous manner.
• Adhere to HIPAA, OSHA, and all organizational policies and procedures.
• Participate in ongoing education opportunities, including webinars and certification-related training
• Perform other duties as assigned to support the overall success of the department and organization.

Education & Experience

• High School diploma or GED required
• Certified Professional Coder (CPC) certification preferred
• 0–2 years of coding or healthcare-related experience preferred

Skills & Competencies

• Strong knowledge of medical coding, terminology, and healthcare regulations
• Excellent communication and interpersonal skills
• Ability to manage multiple tasks with accuracy and attention to detail
• Team-oriented with adaptability to changing demands
• Proficiency in computer systems and coding/billing software

Working Conditions

• Work is primarily performed in a clinical office setting and involves frequent telephone and in-person communication with patients and staff.
• The role involves continuous engagement and interaction with others and may involve occasional or frequent interruptions.
• The work environment reflects typical conditions found in a medical practice, including exposure to standard clinical equipment, patient interactions, and administrative workflows.
• There is potential exposure to common medical practice conditions, including communicable diseases, bodily fluids, and chemical substances.
• Physical demands include walking, bending, reaching, lifting up to 20 pounds, stooping, assisting patients, and prolonged periods of sitting.
• The position may also involve occasional stress due to multiple responsibilities and competing priorities.
• Overtime may be required as needed.

Disclaimer

This job description outlines the general nature and responsibilities of the role and is not an exhaustive list of duties or requirements. Responsibilities may evolve based on organizational needs. Employment is contingent upon successful completion of a background check, drug screening, and compliance with health and immunization requirements (if applicable). This position requires strict adherence to confidentiality and data privacy standards. Employment is at-will and does not constitute a contract. We are an Equal Opportunity Employer and do not discriminate based on any protected characteristic.