Certified Professional Coder Job in Concord, North Carolina

Essential Duties and Responsibilities:

1. Coding/Auditing and Quality Expectations:

This key result area includes the following responsibilities:

• Comply with all legal requirements regarding coding procedures and practices
• Conduct audits in accordance with adopted audit programs to ensure documentation/billing            is accurate and precise
• Conduct training and education to employees on correct documentation and coding/billing               of claims
• Ensure that all codes are current and active
• Maintain up to date on all rules and regulations governing coding, billing and documentation 
• Maintain working knowledge of medical terminology, anatomy and physiology necessary
• Communicate with providers regarding, treatments, tests, documentation etc. to validate accurate billing and coding. 
• Collaborate with billing department to ensure all encounters are satisfied in a timely manner 
• Review denials report to improve future processes/claims status 
• Submit statistical data for analysis and research by other departments. 
• Meet daily audit production
• Observe quality of service and best practices standards as described. In the employee         handbook and any applicable agreements 
• Be knowledgeable of and adhere to Eventus WholeHealth standards, policies and procedures.  Assist in the creation of new standards, policies and procedures.  
• Maintain patient confidentiality at all times.  Agrees to abide by and be knowledgeable of              HIPAA rules and regulations.
• Have accurate and precise attention to detail.
• Maintain the ability to multi-task, prioritize and manage time efficiently. 
• Perform additional duties as assigned by supervisor.

2. Customer Service Guidelines: 

This key result area is achieved by adherence to customer service and facility objectives below:

• Establish and maintain open and positive communications. Provide verbal and/or written instruction or feedback when needed.
• Conduct self in a professional manner at all times.
• Communicate effectively with insurance companies about coding errors and disputes 
• Provide education to improve auditing and compliance scores for providers, leadership team and medical assistants 
• Commitment to high level of customer service
• Have the ability to work independently or as an active member of a team
• Be goal oriented, organized and a team player

3.  Maintaining Eventus WholeHealth compliance with applicable federal and state rules and regulations.

This key result area includes the following responsibilities/skills/qualifications:

• Be aware of and adhere to all legal and regulatory agencies' rules and guidelines and professional ethical standards. Comply with all regulatory agencies governing health care delivery. 
• Monitor and report on federal state rules and regulations that may affect Eventus WholeHealth.
• Collaborate with necessary departments (HR, Quality Assurance, Internal Audit, Legal, Finance, Clinical, Operations etc) to direct compliance violations to appropriate existing channels for investigation and resolution.