General Surgery - Certified Coding Specialist - FT

Policy Name Coder Job Description and Responsibilities
Department Patient Accounting
Effective Date
Last Revision
Policy Owner Clinic Manager


Policy Description and Purpose: Managing patient care involves a team of clinical and nonclinical staff interacting with patients and working to achieve patient-centered care. Job descriptions and responsibilities of the care team emphasize a team-based approach to patient care and promote training of team members to meet the highest level of function allowed by state law.
Procedure: The job description and responsibilities are defined as Certified coders in the General Surgery & Comprehensive Breast Center department at Murfreesboro Medical Clinic below:
Job Title MMC Coder
Job Description
The CPC/Uncertified coder research and codes all office, surgical, and procedural-based reports/records by assigning accurate CPT codes, current version of ICD-10 (diagnosis codes), HCPCS and modifiers in accordance with CMS coding guidelines and principles in a compliant manner. Must be willing to provide billing and coding support clinic-wide, when requested. Coders must adhere to all policies and procedures of MMC and meet the needs of patients in a teamwork approach.

Working Conditions
Work is performed in an office setting or remote and involves frequent telephone contact. There is possible exposure to communicable diseases, toxic substances, bodily fluids, and other conditions common to medical practice. Varied activities including walking, bending, reaching, lifting (up to 30 pounds), stooping, assisting patients and sitting for extended periods of time may occur. Also, occasional stress from multiple responsibilities.

Job Responsibilities
• Represent MMC in a courteous and professional manner
• Greeting guests and incoming calls in a polite, prompt, and helpful manner
• Take accurate messages/information which includes all required information
• Be at your workstation on time and prepared to start the day
• Be flexible when asked to stay past your scheduled work time (as needed) to accommodate the needs of patients
• Provide prompt, efficient, and accurate patient service
• Gather, audit and correct clinic fee tickets and hospital and procedure charges
• Maintain current CPT and ICD coding rules/regulations and post charges accurately and efficiently
• Manage daily appointment reconciliation report to complete month-end closeout
• Review and manage daily Claims Error Report
• Maintain task management
• Review AR reports and make necessary corrections
• Meet or exceed patient, doctor, and staff expectations through a cooperative, teamwork approach
• Keep clinic and work area clean and sanitized
• Be knowledgeable and adhere to OSHA guidelines and MMC policies and procedures
• With instruction, perform other duties as required or assigned
• Must maintain excellent attendance

Required Skills
• Excellent customer service skills
• Strong skills in communicating effectively with co-workers, providers, and patients
• Ability to conduct daily functions in an appropriate, professional, and compassionate manner
• Ability to manage/prioritize multiple tasks in an efficient and timely manner
• Teamwork attitude
• Flexibility to respond to changing demands
• Ability to react calmly and competently in stressful situations
• Effectively utilize computer systems and programs that are necessary to complete daily tasks
• Appropriate assessment and assistance techniques
• Experience in outpatient coding required

Education/Experience Requirements -Certified Coding Specialist (CCS) or Certified Professional Coder (CPC)
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