Certified Professional Coder

Full Time
North Charleston, SC 29406
Posted
Job description

About Affinity Healthcare Solutions

Affinity Healthcare Solutions, we care about physicians and their patients. We offer healthcare management service organization assistance including operations support, financial sustainability consulting, and clinical integration assistance, among other services to help physicians keep a pulse on their business, remain profitable, and ultimately stay independent.

Affinity Healthcare Solutions began as an independent physicians’ group, Palmetto Primary Care Physicians (PPCP), in 1996. More than 22 years later, we are proud to report that PPCP has grown to the largest independent multi-specialty group practice in South Carolina, with over 90 providers across 32 offices, and over 480 total staff members. Affinity Healthcare Solutions has the experience and skills necessary to understand and prioritize our customers’ needs and guide them through the process of expanding their businesses -- because we’ve also been physicians, managing and growing practices on our own. From contract negotiations to HR disputes, we’ve been on the front lines defending the interests of our physicians. We will stand with you as a physician MSO partner who has been there, done that, and understands what you’re facing.

To learn more about Affinity, visit https://www.affinityhealthcaresolutions.com/

  • Offer 401K with generous company match
  • Medical, Dental, Vision Benefits
  • Short Term and Long Term Disability Offered

Job Summary:
Certified Professional Coder (CPC or CPC-A) to provide quality review and analysis of patient medical records and ensure accuracy of coding and maintain records in accordance with accepted medical and legal standards. Assure specificity of coding by comparison of physician chosen CPT and ICD-10 codes to the physicians' documentation to substantiate the level of coding, physician services to include identification of professional services in and complete review of medical records to accurately optimize all professional services documented for billing.
Job Functions:

  • Review of electronic medical records initiated by a health care provider.
  • Coding of paper based records may need to be accomplished.
  • Verifying and coding of the diagnosis, evaluation and management, procedures or other codes required for the completeness and accuracy of the record.
  • Review and verify component parts of medical records to ensure completeness and accuracy of diagnosis, operations, and special therapeutic procedures.
  • Codes and/or reviews principal diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS – all levels, and any other coding classification systems that may be required).
  • Perform edit checks on data entered prior to transmittal and corrects errors as indicated.
  • Analyze medical record documentation for consistency and completeness for coding purposes using established criteria and regulations.
  • Examine all documents in the record for authorized signature and patient identification to ensure all documents contain sufficient documentation to support the diagnosis and treatment administered, and the results obtained are adequately described.
  • Other duties as assigned

Other Requirements:

  • Knowledge of medical billing practices and office policies and procedures.
  • Knowledge of insurance
  • Knowledge of HIPAA requirements regarding patients and strict maintenance of proper confidentiality on all such information.
  • Knowledge of medical terminology, basic anatomy, and physiology
  • Knowledge of grammar, spelling, and punctuation
  • Skill in operating computers, copiers, printers, fax applications, and telephones
  • Excellent math skills
  • Excellent written and verbal communication skills
  • Demonstrates initiative to provide quality of services and improve efficiency
  • Maintains positive working relations with co-workers
  • Time management skills
  • Ability to deal professionally, courteously, and efficiently with team members and the public, remain calm and composed under stress.
  • Ability to understand and interpret policies and regulations.
  • Ability to prepare documents in response to inquiries
  • Ability to examine documents for accuracy and completeness

Education/Certification Requirements

  • High school diploma or equivalent required.
  • Certified Professional Coder (CPC or CPC-A) is required.

EOE

Job Type: Full-time

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Disability insurance
  • Employee assistance program
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • Monday to Friday

Education:

  • High school or equivalent (Required)

Experience:

  • Medical coding: 1 year (Required)

License/Certification:

  • Certified Professional Coder (Required)

Work Location: One location

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