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Certified Coder
Brown Clinic, PLLP

Location: Watertown, South Dakota
Work Setting: Physician Office
Job Function:
Job Type:
Salary Range: DOE

Job Description

  1. Serve as a resource for providers in understanding covered indications and the supporting documentation. Supports both technical and professional services in provider clinic.
  2. Conveying coding guidelines to physicians and other healthcare providers to improve the accuracy of medical record documentation.
  3. Accountable for developing and maintaining applicable coding policies with BC internal initiatives as well as regulatory rules.
  4. Serve as the primary mentor/trainer to internal coders and provide educational feedback and instruction to staff for coding guidelines as part of the internal quality review.
  5. Plans and conducts audits and reports on the documentation, coding and billing performed. Reviews, develops and delivers training programs and educational materials to address deficiencies identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external audit findings and responds as needed.
  6. Remain current in coding schemes and knowledge of prospective payment systems and clinical practices and technology.
  7. Understanding of intermediary auditing related to payer mix. Possess extensive knowledge of coding systems.
  8. Maintains a thorough understanding of National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role.
  9. Understands and supports the Medicare and Commercial Carrier workflows related to daily coding and denial review and appeals management, including the preparation of supporting documents and information to support the appeal process.
  10. Monitors and validates physician charge capture.
  11. Reviews medical documentation from physicians and other healthcare providers; assigns modifiers, diagnostic and procedure codes for symptoms, diseases, injuries, surgeries and treatments according to official classification systems and standards.
  12. Uses relevant policies, procedures, and individual judgment to determine whether events or processes comply with laws, regulations, or standards.
  13. Provide accurate and timely international classification of disease – tenth edition – clinical modification (ICD-10) – CM coding of diagnoses, Healthcare Common Procedure Coding System (HCPCS) and Current Procedural Terminology (CPT) coding, and in accordance with official coding standards, regulatory coding compliance guidelines and company procedures.
  14. Review and audit medical record documentation accurately to reflect healthcare coding and to substantiate appropriate service reimbursement.
  15. Self-motivated with the ability to work independently, multi-task, problem solve and make informed and accurate recommendations to medical professionals based on current information.
  16. Demonstrated leadership skills and proven ability to effectively train others and motivate people in realizing and attaining their goals.
  17. Good written and verbal communication skills. Ability interact with others.  Thoughtful dialogue and inquiry discussion experience.

Required Qualifications

Associate degree in Health Information Technology or Certification in Coding required or within one year of date of hire.

Specific knowledge of diagnostic and procedural terminology, successful coursework from an accredited institution in International Statistical Classification of Diseases (ICD) diagnosis, Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) coding schemes, medical terminology or human anatomy/physiology is preferred.

If the associate is not certified at hire, the associate must be so within one year of the date of hire. Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Professional Coder-Apprentice (CPC-A), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician based (CCS-P), CCS Healthcare (CCS-H), Certified Outpatient Coder (COC).



  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Life Insurance
  • Disability
  • 401K Plan
  • Paid Vacation
  • Paid Holidays
  • Short Term Disability

Instructions for Resume Submission

Please submit an online application and upload resume via our website.

Apply Online:

Posted: January 14, 2022 at 6:26 PM
Post ID: 65744

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