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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 practices 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.

Qualifications:

• High school graduate or equivalent

• 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

• Current coding certification through the American Academy of Procedural Coders (AAPC) or other recognized coding certification organization

About Cook Children’s:

Our not-for-profit organization is comprised of a flagship medical center in Fort Worth, Texas, a new medical center in Prosper, Texas, a physician network, home health company, surgery centers, health plan, health services, and health foundation. With more than 60 primary, specialty and urgent care locations throughout Texas, families can access our top-ranked specialty programs and network of services to meet the unique needs of their child. Cook Children's is honored to continually receive recognition for our outstanding efforts and outcomes in pediatric health care.

At Cook Children's, we're more than a health care system––we're your friends, neighbors and even family members. And we're parents too, so we can see the world through your eyes. We see what you're going through––and how we can help you and your child get the best care and support possible.
 

Cook Children’s is an equal opportunity employer. As such, Cook Children’s offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.