MINIMUM EDUCATION AND EXPERIENCE:

• A High School Diploma or G.E.D.
  If applicable, equivalent combination of education and experience may be considered, and must be directly related to the functions and responsibilities of the job.

PREFERRED EDUCATION, EXPERIENCE, SKILLS, ABILITIES:

• Bilingual (English/Spanish) with the ability to speak, read and write in both languages.

The Certified Professional Coder coordinates and performs the implementation of concurrent coding and querying processes, as well as performing administrative and fiscal duties, tasks, and assignments in support of the Business Office Department and its varied operations. A Certified Professional Coder is responsible for the translation of healthcare providers’ diagnostic and procedural phrases into coded form, as well as the review and interpretation of health record documentation to ensure accurate coding services are rendered and submitted. A Certified Professional Coder ensures that all technical aspects of the assignment of diagnostic and procedural coding are carried out in accordance with established standards and comply with CMS, NCQA, third-party payers, and other regulatory agencies. The incumbent will support and assist in the training and education of Coding Assistants in the use of organizational software applications, which support and facilitate concurrent coding. Performing the functions and requirements for this position follows standardized procedures and policies requiring limited judgment in their execution and will always remain within the defined scope for the position.
An employee in this position works with general supervision and review, and any work problems involving departures from standard policies, interpretations, or procedures are presented to the supervisor for resolution.
The primary goal of the El Rio Health Certified Professional Coder is to support El Rio’s Mission of providing comprehensive, quality health care that is affordable and accessible to all who may have healthcare needs, by successfully performing the primary essential functions.