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certified-professional-coderA certified professional coder (CPC) is an individual of high professional integrity who has cleared a coding certification examination

Key responsibilities of a certified professional coder

A certified professional coder has knowledge and expertise in coding procedure and diagnosis used by physicians. As a CPC, you must know the correct application CPT and ICD-9 diagnosis – to translate diagnostic and procedural phrases into numerical codes used for billing and reimbursement purpose by insurance companies.

Responsibilities of a CPC are as follows:

• Code accurately: The most important task of a CPC is to determine accurate codes for physicians diagnosis and procedures.

• Being up-to-date: A CPC needs to be up-to-date with the latest medical compliance and reimbursement policies.

• Review medical records: Review medical record information to identify all appropriate coding, and see if it’s in tune with the latest reimbursement policies and CMS guidelines.

• Interface with physicians: To keep a check on compliance issues, a certified professional coder has to use her analytical skills to recommend new strategies to the physicians. Updating physicians with accurate coding information is also one of the responsibilities of a CPC.

• Implement new guidelines: A CPC must ensure that new coding guidelines are implemented in a timely manner.

• Update patient information: Patient information forms must also be updated from time to time as per requirement.

In a nutshell, a certified professional coder must demonstrate analytical and problem-solving skills regarding barriers to receiving reimbursement. Taking active part in process and quality improvement initiatives is always a plus.


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READ THIS LATER! DOWNLOAD THE PDF >> CLICK HERE <<
2016-11-20T23:38:54+00:00

About the Author:

Laureen Jandroep
CPC, COC, CPPM, CPC-I.,Sr. Instructor for CCO.us. Resides in southern New Jersey with her husband of over 20 years Anthony and four children. They are active parents and spend most of their time these days just being parents which they love.

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