Coder III

Essential Duties and Responsibilities: 

Include the following. Others may be assigned. 

• Performs all assigned billing in a timely manner 
• Communicates with the physician the documentation needed to complete job functions 
• Ensures accurate coding from the medical record regarding ICD-9 and ICD-10, appropriate evaluation and management CPT code 
• Updates patient record with patient’s current insurance, address and telephone numbers 
• Identifies primary care doctor and referral source with contact information and documents it in the medical record 
• Performs claims follow up and reviews with billing agent in a timely 
• manner 
• Protects patient confidentiality according to HIPAA guidelines 
• Maintains proper credentials and researches coding issues to ensure correct coding initiative per CMS guidelines 
• Identifies and attends one course/conference per specialty, per year to continue education in the coding field 

EDUCATION / EXPERIENCE 

Include minimum education, technical training, and/or experience required to perform 

the job. 

• AA Degree required 
• Bachelors Degree preferred 
• 5 years coding experience required 
• Healthcare background is required 
• CPT current competence with ICD- 10, ICD-9, CPT-4, and HCPCS required 
• Coding scheme and reimbursement practices required 
• RHIA, RHIT, CCS, CPC or COC certification is required 
• Office, and Excel required 
• Willingness to be flexible and adaptable in a complex, matrix environment