Certified Medical Coder
On-siteGary, Indiana, United States
Gary, Indiana, United StatesOn-siteFull TimeLicense Or Certification
Full TimeLicense Or Certification
Job Summary
Review medical records to assign accurate ICD-10-CM, CPT, and HCPCS Level II codes for behavioral health, primary care, and substance use treatment services. Collaborate with providers and billing staff to resolve claim denials, correct documentation errors, and implement process improvements that maximize reimbursement. Maintain coding accuracy above 95% while adhering to HIPAA, CMS, and payer regulations. Stay current with annual coding updates and participate in quality audits and provider education initiatives.
Required Qualifications
- High School Diploma or GED
- Certified Professional Coder (CPC) credential through the American Academy of Professional Coders (AAPC)
- Minimum of two (2) years of professional medical coding experience
- Working knowledge of ICD-10-CM
- Working knowledge of CPT
- Working knowledge of HCPCS Level II
- Working knowledge of Medical terminology
- Working knowledge of Anatomy and physiology
- Experience with Electronic Health Records (EHR)
- Proficiency with Microsoft Office applications
- Excellent written and verbal communication skills
- Strong organizational and time management abilities
- Exceptional attention to detail
- Strong analytical skills
- Critical thinking
- Problem-solving
- Interpret complex medical documentation
- Maintain high coding accuracy and productivity
- Prioritize multiple assignments
- Meet strict deadlines
- Communicate professionally with providers and staff
- Work independently with minimal supervision
- Maintain confidentiality of protected health information
- Maintain active coding certification through continuing education requirements
Desired Qualifications
- Associate's degree in health information management, Medical Coding, Healthcare Administration, or related field
- Three (3) or more years of professional coding experience
- Certified Professional Medical Auditor (CPMA)
- Certified Outpatient Coder (COC)
- Certified Coding Specialist (CCS)
- Certified Inpatient/Outpatient Coder
- Experience coding for Federally Qualified Health Centers (FQHCs)
- Experience coding for Certified Community Behavioral Health Clinics (CCBHCs)
- Experience coding for Behavioral health
- Experience coding for Primary care
- Experience coding for Substance use treatment programs
- Knowledge of Indiana Medicaid behavioral health billing requirements
- Experience with Athenahealth or similar EHR and practice management systems
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