Job Description

Acentus is excited to announce an opening for the position of Certified Professional Coder Apprentice (CPC-A) on our team! In this role, you will play a crucial part in ensuring our professional medical billing and coding processes run smoothly, making a significant impact on our ability to help provide exceptional care to patients. We are looking for a friendly and organized individual who is passionate about medical billing and coding and eager to contribute to a supportive environment.

The CPC-A position offers entry-level medical coding professionals real-world coding experience through participation in the Acentus structured coding training program. This program provides hands-on experience to help satisfy AAPC requirements for removing the apprenticeship designation from your CPC-A credential. Please note that this is not a fully remote position and does require employees to physically report to our office in Mt. Laurel, NJ. A semi-remote schedule is available after successfully completing a 90-day introductory period.

As a CPC-A, your primary responsibility will be to use critical thinking to identify trends and apply ICD-10-CM, CPT, and HCPCS coding guidelines appropriately. Daily duties of a CPC-A include resolving charge review edits to ensure accurate coding and billing, researching and clearing claim edits prior to claim submission, and investigating and working coding-related claim denials and payor rejections. This position requires a keen attention to detail and excellent communication skills. If you enjoy working in a fast-paced environment where you can make a difference in people's lives through your work, this could be the perfect opportunity for you!

Responsibilities:

• Review and resolve charge review edits to ensure accurate coding and billing
• Research and clear claim edits prior to claim submission
• Investigate and work coding-related claim denials and payor rejections
• Apply ICD-10-CM, CPT, and HCPCS coding guidelines appropriately
• Collaborate with coding specialists, billers, and revenue cycle staff to resolve coding issues
• Maintain compliance with payor requirements, regulatory standards, and coding guidelines
• Document findings and corrective actions accurately
• Participate in ongoing coding education and training activities
• Provide timely, accurate, and professional responses to internal, patient, and third party inquiries
• Research and resolve simple to complex issues and escalate issues to management
• Work with billing managers to resolve and prevent coding denials
• Report needed system updates to manager
• Research payer policies and insurance eligibility changes and communicate changes to key personnel
• Assist with Specialist Projects and other essential billing office duties as assigned

Qualifications:

• Bachelor’s degree preferred, High school diploma/GED required
• Certified Professional Coding Apprentice or Certified Professional Coder (CPC-A or CPC) required
• Advanced ability to troubleshoot and problem solve in a healthcare setting
• Basic understanding of medical terminology, anatomy, & physiology
• Advanced knowledge of CPT and ICD-10 coding
• Advanced understanding of HIPAA compliance practices
• Familiarity of billing systems and electronic medical records (EPIC preferred)
• Proficient knowledge and a working understanding of Microsoft Excel and Word
• Excellent research abilities, attention to detail, and communication skills
• Outstanding problem-solving and organizational abilities
• Self-motivation, including multitasking and time management
• Positive attitude and team player

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