Specialist, Senior Coding
Center for Primary Care
- Augusta, Georgia, United States
- Augusta, Georgia, United States
About
Culture Champion: Encourages, motivates, and models engagement with assigned duties in a manner that aligns with CPC's Mission, especially to "serve joyfully". Customer/Patient Supporter: Supports a positive patient experience by ensuring coding accuracy that results in appropriate billing outcomes. Assists in resolving patient and payer inquiries related to coding with professionalism and clarity. Coding Professional: Reviews and assigns accurate diagnosis, CPT, and HCPCS codes based on provider documentation. Ensures compliance with all regulatory, payer, and organizational coding guidelines. Identifies coding errors, discrepancies, and opportunities for improved documentation. Supports clean claim submission by collaborating with billing staff. Technology & Innovation Champion: Actively supports implementation and optimization of new technologies, including AI-assisted coding tools and automation platforms. Evaluates coding workflows for opportunities to improve accuracy and efficiency through technology. Serves as a resource for adoption of new systems/tools. Clinical Documentation Integrity Support: Works closely with providers and clinical teams to improve documentation accuracy and completeness; Provides education and feedback to support appropriate code selection and compliance. Denial & Audit Specialist: Reviews coding-related denials and recommends corrective actions; Participates in internal and external coding audits; Assists with audit responses and implementation of corrective action plans. Team Collaborator: Works closely with CBO colleagues, office managers, and clinical staff to ensure alignment between coding, billing, and clinical documentation processes. Continuous Learner: Maintains up-to-date knowledge of coding guidelines, payer policies, regulatory changes, and emerging technologies. Actively participates in continuing education and applies learning to improve outcomes. Seeks to keep current with billing and coding best practices, AthenaOne updates, and regulatory requirements. Applies learning and growth for the good of the team. Subject Matter Expert: Serves as a go-to for coding staff and providers for advanced coding questions, complex cases, and regulatory interpretation. Assists with a variety of special projects; performs related duties as required and other duties as assigned. All essential functions must be performed. Reasonable accommodations may be made to enable individuals with qualified disabilities to perform the essential functionsThe above information is intended to describe the general nature and level of work being performed by people assigned to this job. It is not intended to be an exhaustive list of responsibilities, duties and skills required of personnel so classified. Examples listed do not preclude the performance of other duties similar in nature or in level of complexity. RequirementsQualifications for Success: Education, License/Certification, and Experience Requirements Education: High School Diploma or GED required. Certified Professional Coder (CPC) Certification required. CRC (Certified Risk Adjustment Coder) strongly preferred. Other related certifications (e.g. CCS, CPMA) are preferred. AthenaOne system training or superuser certification strongly preferred. Experience: At least five (5) years of physician office billing experience required. Experience with AthenaOne strongly preferred. Exposure to and involvement with coding automation tools, medical coding software, and/or AI-based coding platforms strongly preferred. Experience in outpatient medical settings, especially primary care, is a plus. Eager and able to demonstrate a commitment to CPC's mission, especially to "serve joyfully"
Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems In-depth understanding of E/M, injections, and lab coding guidelines and documentation standards Familiarity with payer policies, compliance regulations, and audit processes Proficient in AthenaOne or similar EHR and coding tools Passionate about technology and efficiency, including AI-assisted coding tools and workflow automation Strong analytical and problem-solving skills Excellent communication skills, both verbal and written Detail-oriented, organized, and able to manage multiple tasks efficiently Ability to educate and influence providers and staff constructively Willingness to work collaboratively and support team goals
AdditionalJobDetails:Work Setting: On-site
Job Type: Full-Time Schedule: Monday-Friday Compensation: Market competitive base pay, commensurate with education and experience.
Languages
- English
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