Certified Professional Coder Apprentice CPCA

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 elevate cases 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 J-18808-Ljbffr