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Certified Professional Coder Job in Fort Myers, Florida

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Job Title: Certified Professional Coder

Employer:Institute for Orthopaedic Surgery & Sports Medicine
Required Certifications:CPC
Required Experience:1 to 2 years
Preferred Experience:5 to 7 years
Location:8350 Riverwalk Park Blvd, Suite 1 Fort Myers 33919-, FL, US
Date Posted:3/31/2021

JOB TITLE:  Certified Professional Coder


GENERAL STATEMENT OF DUTIES:  Perform electronic and/or manual billing, and/or coding procedures/transmittals to support physician services for a specialty practice.   Responsible for ensuring supporting documentation relating to billing, collections and/or coding of charges is maintained in an accurate and current manner. 




            Knowledge, Skills & Abilities:  Possess a working knowledge of billing, collections and coding concepts relative to automated coding, billing and collection procedures while working with EMR computer software, CPT, ICD-9 and ICD-10 in a physicians’ office.  Dealing primarily with orthopaedic patients and their coding, insurance/billing claims for services rendered by Institute for Orthopaedic Surgery & Sports Medicine physicians.  Knowledgeable about and able to explain an insurance explanation of benefits.  Understand governmental regulations and commercial carrier guidelines regarding correct coding and billing.


Willingness to accept day-to-day direction from Billing Supervisor/Practice Administrator and to perform repetitive tasks.  Understands and abides by the ethics of HIPAA and confidentiality.  Ability to communicate to management, co-workers, patients and insurance carriers in a professional manner at all times.  Ability to work well under pressure and in a team environment.  Must comprehend and follow established office routines and policies.


            Education:  High school diploma or GED certificate.  College graduate preferred. Must have an understanding of medical terminology and human anatomy.  Must be certified as a Certified Professional Coder.


            Experience:  Individual shall possess a minimum of two (2) years previous medical coding, billing and collections knowledge as well as having worked in a physicians’ office.


SUPERVISION RECEIVED:  Reports directly to Billing Supervisor/Practice Administrator.




TYPICAL PHYSICAL DEMANDS: Billing/Collections Associate must be able to perform the following job functions with or without reasonable accommodation:


  1.  Lift 15# from the floor to shoulder frequently/occasionally.

  2.  Lift 10# overhead occasionally.

  3.  Carry 10#, 80 feet occasionally.

  4.  Push/pull 8#, 2 feet occasionally.

  5.  Sit up to 2 hours continuously.

  6.  Squat, stoop for 10 minutes occasionally.

   7.  Fine hand manipulation, bilaterally continuously.

  8.  Heavy grasp, bilaterally continuously.

  9.  Visual acuity corrected to 20/20.

10.  Comprehensive verbal communication skills continuously.

11.  Legible written communication skills continuously.


TYPICAL WORKING CONDITIONS:  Work is performed in a medical office environment.  Daily interaction with management, co-workers, insurance carriers and patients.


DUTIES: (This list may not include all of the duties assigned).


  1. Responsible for the audit and daily balancing of encounters forwarded for entry by the physicians.
  2. Advising and educating physicians and support personnel of correct data in the event incomplete data is submitted.
  3. Notifying the physician, Billing Supervisor and/or Practice Administrator of any errors and/or compliance issues noted or submitted for charge entry into the computer system.
  4. Ensuring that all missing encounters and claims are identified and captured on a monthly basis.
  5. Responsible for helping in the processing of medical appeals.
  6. Ability to accurately code operative/patient notes as presented by the clinical team.
  7. Cross training with other staff positions within the Corporation as designated by management.
  8. Review medical records, abstract pertinent information and apply CPT, ICD-9 and ICD-10 codes as applicable in conjunction with American Medical Association (AMA) Official Coding Guidelines and the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).
  9. Remain current on medical coding guidelines and reimbursement reporting requirements. 
  10. Comply with HIPAA laws and regulations recognizing a commitment to privacy, security and confidentiality of all medical chart documentation.
  11. Participate in software vendor/staff testing and training as required by the Company.
  12. Perform miscellaneous duties as assigned by Billing Supervisor/Practice Administrator.




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