Professional Physician Coder
Cone Health
Job Overview
- Industry: Hospitals and Health Care
- Application Deadline: 26 May 2026
Job Description
Overview:
The role of the Professional Physician Coder involves effectively utilizing various physician billing and Health Information Systems to obtain essential records for precise coding and billing of professional physician and physician extender services. It is a beginner-level position in the field of professional physician coding.
Responsibilities:
Examining patient documents and assigning codes for healthcare services using up-to-date ICD-10, CPT, and HCPCS classification systems.
Diagnosis codes, along with co-existing medical conditions, potential issues arising from a primary illness, treatments and tests, items needed for medical procedures, supplies, medications, and injections are categorized and referenced using the ICD-10, CPT, and HCPCS coding systems.
Supports the Central Business Office in ensuring thorough and timely follow-up on patient accounts for optimal reimbursement outcomes, particularly regarding insurance denials.
Informs the Team Lead, Manager, or Compliance department about any compliance breaches identified while conducting the review.
Effectively communicates with doctors, physician assistants, medical office staff, coding team members, and supervisor.
Makes use of departmental resources to ensure coding practices are precise and supported by available materials.
Ensures the protection of patient privacy. Adheres to consistent and timely attendance in line with the organization's guidelines and relevant regulations such as the ADA, FMLA, and other federal, state, and local laws.
Carries out additional tasks as required.
Qualifications:
EDUCATION:
Required:
- High school diploma or equivalent; Computer/typing literacy, knowledge of Anatomy, Physiology and Medical terminology required
Preferred:
- Associate degree preferably with Medical Office Billing
EXPERIENCE:
Required:
- Entry level physician certified coding experience in professional or physician practice coding.
Preferred:
- Prior physician practice experience is highly desirable.
LICENSURE/CERTIFICATION/REGISTRY/LISTING:REQUIRED
Required:
One of the following national certifications: Certified Professional Coder (CPC) through the American Academy of Professional Coders. CPC-A is a minimum requirement. Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA). Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA). Certified Medical Coder (CMC) through Practice Management Institute.
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Job Overview
- Industry: Hospitals and Health Care
- Application Deadline: 26 May 2026