The Clinic Coder I is responsible for converting diagnoses and treatment procedures into codes using ICD-10-CM, CPT-4, E&M, and HCPCS for professional services within the CMH Health Services system. This role ensures accurate, timely coding, supports compliant reimbursement and documentation practices, performs chart audits, and provides education to staff and providers on coding and documentation requirements.
Key Responsibilities
- Select appropriate codes for reimbursement and release claims for submission
- Use coding software, references, and medical dictionaries to support accurate code assignment
- Code diagnoses and procedures according to ICD-10-CM, CPT, and HCPCS guidelines
- Perform coding audits on medical charts
- Educate providers and staff on documentation and coding compliance
- Reconcile charges and review deficiency reports
- Review and correct coding denials as assigned
- Support performance improvement and maintain a safe work environment
Requirements & Qualifications
Education
- Associate's degree in a related field or equivalent combination of education and experience required
Certification
- CPC, CCS-P, CCA, or other coding certification required within 18 months
Experience
- Minimum 1 year of physician or hospital medical coding experience preferred
Skills
- Strong computer skills, including Microsoft Word, Excel, and Outlook
- Knowledge of ICD-10-CM, CPT, and HCPCS coding principles
- Knowledge of medical terminology, anatomy, and physiology
- Ability to work independently, prioritize tasks, and complete work in a timely manner
Location
Illinois, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
2 weeks ago
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