DUNCAN REGIONAL HOSPITAL
Location
Duncan, Oklahoma
The Certified Professional Coder is responsible for reviewing medical records and translating information into codes for insurance claims. This includes ensuring accurate coding, querying providers for clarification, and maintaining compliance with regulations.
Candidates must have a high school diploma and at least 2 years of experience in medical billing or reimbursement. Certification as a Professional Coder is required, with a potential 6-month grace period for new hires.
Communication and interpersonal skills including fluency in oral and written English. Basic computer skills including the ability to send/receive/email, navigate information technology associated with the position, and use Electronic Health Record information tools. Strong attention to detail with excellent organizational skills. Ability to adapt procedures, processes, tools, equipment, and techniques to accomplish the requirements of the position. Education and/or Experience: High school diploma or equivalent required. At least 2 years of progressively responsible experience in medical insurance, medical billing, or medical reimbursement preferred. Proven knowledge of CPT and ICD-10 coverage policies, coding guidelines, internal revenue cycle coding processes, and billing practices of the specialty service line. Demonstrated ability to read and interpret E&M notes, complex diagnostic study results, endoscopic, interventional and/or procedure operative notes. Based on documentation review, demonstrated ability to confirm or change the billed CPT code(s), diagnosis code(s) and modifiers (if applicable) in order to attain clean claim result. Strong knowledge of the carrier coverage policies and documentation requirements for specialty specific service lines. Ability to work independently and remain flexible to quickly adapt to urgent situation. Certifications, Licenses, Registrations: Certified Professional Coder (CPC), Certified Medical Coder (CMC), Certified Coding Specialist (CCS), Certified Coding Associate (CCA), or Certified Professional Auditor (CMPA) or equivalent required; May have up to 6 months to obtain after date of hire or transfer. For those positions requiring travel, a current valid driver’s license and automobile liability insurance must be maintained.