Review medical records and verify the documentation justifies the diagnostic and procedural codes (ICD-10 CM and CPT codes)
Verify and abstract all medical data from patient records, including treatment plans, diagnoses, and procedures.
Ensure compliance with coding guidelines and regulations, including HIPAA and CMS guidelines.
Monitor and report on coding-related trends and issues, and make recommendations for process improvements.
Maintain up-to-date knowledge of coding guidelines and regulations, and attend continuing education courses as required to maintain CPC certification.
Maintain accurate and complete documentation of coding activities and communicate effectively with team members and other stakeholders.
Participate in quality improvement initiatives and other projects as assigned.

High school diploma or equivalent; associate's or bachelor's degree in healthcare administration, business, or related field preferred
CPC certification from the American Academy of Professional Coders (AAPC) or equivalent certification required
Minimum of 2 years of experience in medical coding, preferably in an outpatient setting or for professional services.
Knowledge of ICD-10, CPT, and HCPCS coding systems and guidelines
Strong attention to detail and ability to work independently
Excellent communication, interpersonal, and organizational skills
Proficient in Google Sheets and electronic medical record (EMR) systems

Certified Professional Coder

Key skills