Gastroenterology Westlawn Certified Coding Specialist

Policy Name Certified Professional Coder Job Description and Responsibilities
Department Gastroenterology
Effective Date
Last Revision June 2025
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 for Certified Professional Coder in the Gastroenterology department at Murfreesboro Medical Clinic below:
Job Title Certified Professional Coder (CPC)
Job Description
The CPC researches 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.

Working Conditions
Work is performed in an office setting and possible exposure to communicable diseases, toxic substances, bodily fluids, and other conditions common to medical practice. Varied activities including walking, bending, reaching, lifting, stooping, and sitting for extended periods of time will occur. Also, occasional stress from multiple responsibilities. Overtime hours may be required as needed.

Job Responsibilities
• Represent MMC in a courteous and professional manner
• Responsible for accurate and complete coding according to Compliance Guidelines, and for assigning ICD-10 and CPT codes from doctors/providers documentation.
• Ensure coded services, provider charges and medical record documentation meet appropriate guidelines or standards.
• Works A/R queues to resolve denials or errors in a timely manner.
• Provide ongoing feedback and targeted training to doctors/providers and other providers regarding coding guidelines and requirements.
• Stay up to date with changes in CMS guidelines.
• Research and stay current with health insurance billing requirements.
• Must meet month end requirement.
• Works with medical staff and patient accounting staff to resolve coding issues and associated problems.
• Reviews reimbursement from third-party payers to ensure payment through proper use of codes.
• Be proactive and participate in educational activities such as webinars, AAPC education opportunities and conferences.
• Be at your workstation on time and prepared to start the day
• Email communication is utilized in this department for important messages and updates. Staff members are expected to read emails frequently.
• Be flexible when asked to stay past your scheduled work time (as needed) to accommodate the needs of patients
• Meet or exceed patient, doctor, and staff expectations through a cooperative, teamwork approach
• Keep your work area and the clinic clean.
• Be knowledgeable of and adhere to all HIPAA and OSHA guidelines.
• Be knowledgeable of and adhere to all MMC policies and procedures.
• With instruction, perform other duties as required or assigned

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

Education/Experience Requirements
- High school diploma or GED
-Coding Certification (Certified Professional Coder CPC) Required

MMC Vision, Mission, and Values
Our vision is to be a leading contributor to community health through participation in programs that promote wellness, facilitate diagnosis, and enhance treatment of disease.

Our mission is to foster continuous improvement in community health through the delivery of quality, accessible medical and surgical care in a cost-effective manner to the residents of Middle Tennessee.

Our values guide ou