High School Diploma required. Associate's degree preferred. Certified Coding Specialist (CCS), Certified Coding Specialist Physician based (CCS-P) certification through the American Health Information Management Association (AHIMA) and/or Certified Professional Coder (CPC) and/or Certified Outpatient Coder (COC) through American Academy of Professional Coders (AAPC) is required. CIRCC certification Preferred.
With high school diploma - CPC, COC, or CCS with a minimum of six (6) years coding experience. With an Associate's degree - CPC, COC, CCS with four (4) years of coding experience. Coding and billing related claim edits experience required. Work includes coding complex Cardiac Catheterization/Interventional specialty outpatient accounts.
Either CPC, COC, CCS required. CIRCC Preferred.
In-depth knowledge of medical terminology, anatomy, physiology, and disease process. Knowledge of coding, billing, and the revenue cycle. Demonstrated knowledge of medical terminology and organization of the medical record coding systems. Comprehensive understanding of ICD-10-CM classification systems, and Medicare/Medicaid Evaluation & Management (E&M), Outpatient Prospective Payment System (OPPS) and Ambulatory Payment Classification (APC's). Good oral and written communication skills. Experience with HCPCS coding and pharmaceutical drug types/pricing.