Certified Professional Coder

Job Summary

To support accurate billing processes, the full-time Certified Professional Coder will review and assign CPT, HCPCS, and ICD-10-CM codes for professional claims remotely, ensuring compliance with coding guidelines and documentation standards.

Key responsibilities:

• Review procedure documentation to assign accurate CPT-4 codes and appropriate modifiers for procedures
• Validate provider-selected ICD-10-CM diagnosis codes and analyze documentation for correct Evaluation and Management coding
• Ensure compliance with national coding guidelines and Capital Health's policies, maintaining accuracy and productivity standards

Required qualifications:

• High school diploma or equivalent; Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCS-P) certification required
• Two years of experience in a physician coding role preferred
• Proficiency in ICD-10-CM, CPT-4, and HCPCS coding
• Knowledge of surgical coding guidelines and medical terminology
• Experience with multiple EMR systems is preferred