Certified Professional Coder (CPC)

Position Summary
The Certified Professional Coder (CPC) is responsible for reviewing and accurately translating
physician documentation into the appropriate ICD-10-CM diagnosis codes, CPT procedure
codes, and HCPCS Level II codes for claim submission. This role ensures compliance with payer
guidelines, federal regulations, and coding best practices to maximize appropriate reimbursement
while minimizing claim denials and audit risk.

Essential Duties and Responsibilities
 Review physician notes, operative reports, encounter forms, and other clinical
documentation to assign accurate and complete codes
 Assign ICD-10-CM, CPT, and HCPCS Level II codes in accordance with AMA and
CMS guidelines
 Ensure proper use of modifiers to reflect services accurately and support medical
necessity
 Query physicians and clinical staff when documentation is unclear, incomplete, or
inconsistent
 Submit clean claims to insurance payers in a timely manner
 Review and resolve coding-related claim denials and rejections
 Conduct routine audits of coded encounters to identify trends and opportunities for
education
 Stay current with annual CPT, ICD-10, and payer-specific coding updates
 Maintain strict confidentiality of all patient health information in compliance with
HIPAA
 Collaborate with billing staff, front office, and clinical teams to ensure revenue cycle
efficiency
 Assist in the development and delivery of provider documentation education as needed
 Adhere to the AAPC Code of Ethics and all applicable compliance standards
QualificationsRequired
 Active CPC credential issued by the American Academy of Professional Coders
(AAPC)
 Minimum 2 years of professional fee / physician office coding experience
 Proficiency in ICD-10-CM, CPT, and HCPCS Level II coding systems
 Solid understanding of medical terminology, anatomy, and physiology
 Knowledge of Medicare, Medicaid, and commercial payer billing guidelines
 Experience with Electronic Health Records (EHR) and Practice Management systems
 Familiarity with modifier usage and evaluation & management (E/M) coding
guidelines
 Strong attention to detail and analytical skills

Preferred
 Additional AAPC specialty credentials (e.g., CPMA, CPCO, or specialty-specific CPC-S)
 Experience with a specific specialty (e.g., Family Practice, Internal Medicine,
Orthopedics, etc.)
 Knowledge of encoder software (e.g., 3M, Optum, TruCode)
 Experience with revenue cycle management (RCM) platforms
Education
 High school diploma or GED required
 Associate's or Bachelor's degree in Health Information Management or related field
preferred
Physical Requirements
 Primarily sedentary role; prolonged periods of sitting at a desk and working on a
computer
 Ability to work in an office or remote/hybrid environment depending on practice policy
Competencies

Competency Description

Accuracy Consistently assigns correct codes with minimal error rate
Compliance Operates within regulatory and payer-specific guidelinesCompetency Description
Communication Effectively queries providers and communicates with billing staff
Adaptability Keeps up with coding updates and payer policy changes
Integrity Upholds ethical standards in all coding decisions
Compensation
 Salary Range: Commensurate with experience and credentials

Benefits: Health insurance, PTO, continuing education support, AAPC membership
reimbursement
This job description is intended to describe the general nature and level of work performed.

Pay: $65,000.00 - $80,000.00 per year

Work Location: Remote