Summary: The Certified Professional Coder/Analyst is responsible for abstracting, coding, billing and accounts receivable functions for all hospital based providers employed by Cook Children's Physicians Network. This position is also responsible for analyzing and resolving billing errors/edits, denials and initiating appeal disputes. The Certified Professional Coder/Analyst must be accurate when recording patient information or coding medical documentation. Certified Professional Coder must be able to effectively use coding and classification software and the electronic health record (EHR) system that their healthcare organization has adopted. Key duties of the Certified Professional Coder/Analyst are making required patient account adjustments, initiating claim appeals process on behalf of CCPN providers; post manual charges, serves as liaison between assigned practice(s) and billing office. Certified Professional Coder/Analyst must exercise caution and possess a strong sense of ethics when working with medical information in order to protect patient confidentiality. Certified Professional Coder must be able to effectively communicate coding, discrepancies, and best practice utilization with physicians and administrative personnel. Certified Professional Coder will report all coding or documentation issues or concerns directly to the supervisory or management personnel.
High school graduate or equivalent.
At least 2 years' experience in a medical practice or other related health care setting or one year of coding experience performing in the capacity of a certified medical coder.
Understanding of diversified insurance plans.
Proficiency in basic medical terminology.
Exhibits good interpersonal and communication skills.
Maturity to withstand pressure that may arise in relation to the public, physician or administration interaction or assigned duties.
Licensure, Registration, and/or Certification:
Current coding certification through the American Academy of Procedural Coders (AAPC) or other recognized coding certification organization.
Internal Number: 40442
About Cook Children's Medical Center
Cook Children's Health Care System is a not-for-profit, nationally recognized pediatric health care organization comprised of eight entities – a Medical Center, Physician Network, Home Health company, Northeast Hospital, Pediatric Surgery Center, Health Plan, Health Services Inc., and Health Foundation.Cook Children's Medical Center Based in Fort Worth, Texas, the integrated system has more than 60 primary and specialty care offices throughout North Texas. Its service region includes Denton, Hood, Johnson, Parker, Tarrant and Wise counties, with an additional referral area encompassing nearly half the state.Cook Children's traces its roots back to 1918, but throughout its continual change and robust growth, it still embraces an inspiring promise – to improve the health of every child in its region through the prevention and treatment of illness, disease and injury. To live up to this promise, Cook Children's combines the art of caring with the use of leading technology and extraordinary collaboration to provide exceptional care for every child, every day.History – Cook Children's has a rich history of nearly a century of caring for children.Our Promise – Knowing that every child's ...life is sacred, it is the promise of Cook Children's to improve the health of every child in our region through the prevention and treatment of illness, disease and injury.Companies – Based in Fort Worth, Texas, Cook Children's is a not-for-profit organization that is comprised of eight nationally recognized companies.Community Health Outreach – Cook Children's Community Health Outreach works together with over 150 partner organizations to improve the safety and health of at-risk children through education, disease and injury prevention and support.Clinical Research – Cook Children's is home to a skilled team of research-minded physicians, nurses and health care professionals and administrators who drive our commitment to excellent clinical care and the search for medical advances.Public Relations – Cook Children's Public Relations works with national and local media outlets, produces Cook Children's publications, coordinates special events and helps develop key relationships within the community.Contractor & Vendor Information – Cook Children's contractors and vendors must ensure their employees are knowledgeable about working with our organization.Sponsorship guidelines – Cook Children's sponsors a select number of events that are strongly aligned with its promise to improve the health of every child in the region through the prevention and treatment of illness, disease and injury.