Certified Coder – Pediatrics Central Administration

• Reviews medical record documentation to determine appropriate billing codes and necessary documentation
• Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-10 code
• Meets with physicians to review documentation, resolve coding and secure signatures of all unsigned dates of service
• Acts as lead person and assists coders with medical terminology and policy interpretation
• Assists with efforts to increase physician awareness of documentation requirements
• Prepares case reports and initiates follow-up for billing process
• Performs other duties as assigned

Requirements

• Must have one of the following coding credentials: AHIMA (CCA, CCS, or CCS-P); AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or one of the AAPC specialty-specific coding credentials)
• Previous coding experience or experience equivalent to an associate’s degree in a related field preferred
• Knowledge of ICD-10 and CPT coding preferred
• Computer Systems proficiency
• Medical Billing and Coding skills
• Medical Terminology knowledge

Hard Skills

• ICD-10 coding
• CPT coding
• medical billing
• medical coding
• case report preparation
• documentation review
• coding policy interpretation
• billing process follow-up

Soft Skills

• leadership
• communication
• interpersonal skills
• problem‑solving

Certifications & Qualifications

• AHIMA CCA
• AHIMA CCS
• AHIMA CCS-P
• AAPC CPC
• AAPC CPC-A
• AAPC CPC-H
• AAPC CPC-H-A