Professional Coder I - TMCOne - Revenue Cycle

SUMMARY:

Responsible for reviewing patient medical records and assigning accurate CPT, ICD-10, and HCPCS codes for services provided. Supports billing, compliance, and quality teams under general supervision.

ESSENTIAL FUNCTIONS:

• Review and code medical records using standard coding systems.
• Audit provider documentation for accuracy and completeness.
• Communicate with providers to clarify documentation.
• Assist with billing processes and generate reports.
• Support training and implementation of new systems.
• Maintain confidentiality and adhere to safety protocols.
• Preforms related duties as assigned.

MINIMUM QUALIFICATIONS

EDUCATION:  High school diploma or GED required; additional training in medical terminology or office administration preferred.

EXPERIENCE: Two (2) years of medical coding experience, preferably with Professional Coder Level I experience.

LICENSURE OR CERTIFICATION:   CPC Certification or CPC- A Certification required.

KNOWLEDGE, SKILLS, AND ABILITIES:

·         Proficiency in interpreting medical terminology and healthcare documentation.

·         Strong attention to detail and accuracy in data entry.

·         Effective communication and customer service skills.

·         Ability to operate standard office equipment and use electronic health record (EHR) systems.

·         Organizational skills to manage multiple tasks and maintain documentation.

·         Ability to work independently and as part of a team in a fast-paced environment.