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Certified Professional Coder

Certified Professional Coder job description

The certified professional coder is responsible for accurately assigning medical codes to diagnoses, procedures and services to ensure proper billing and compliance with industry standards. This role plays a critical part in supporting revenue cycle operations and maintaining regulatory compliance.Working closely with healthcare providers, billing teams and compliance departments, the certified professional coder reviews clinical documentation, applies coding guidelines and resolves discrepancies. This position helps optimize reimbursement and reduce claim denials through precise coding practices.

Typical certified professional coder duties:

Review medical records and assign accurate ICD-10, CPT and HCPCS codes for diagnoses and proceduresEnsure coding compliance with payer requirements, regulatory guidelines and organizational policiesConduct audits and quality checks to maintain coding accuracy and identify areas for improvementCollaborate with providers to clarify documentation and resolve coding-related issuesPrepare coding reports and assist with revenue cycle analysis to support financial performanceStay current on coding updates, industry regulations and best practicesSupport training initiatives for staff on coding standards and documentation requirementsAssist with claim reviews and appeals to minimize denials and maximize reimbursement

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National salary range for Certified Professional Coder

53500 - 72250

Low
53500
The candidate is new to the role or has limited experience and is still developing core skills.
Mid
61750
The candidate has moderate experience in the role or one similar, meets most requirements and may hold transferable skills or relevant certifications.
High
72250
The candidate has extensive experience in the role, demonstrates advanced skills and often brings specialized certifications or industry experience.
Projected salaries for related positions Job title Low Mid High Medical Coding Manager 66750 75750 86250 Credentialing Specialist 44500 49000 57750 Medical Customer Service Representative 42000 47500 53000 Insurance Authorization Specialist 41000 45250 49500 Intake/Admissions Specialist 40250 42750 46500 Patient Access/Services Specialist 38000 42000 45750 Medical Scheduler 38250 40500 43750 Medical Data Entry Specialist 36250 40000 44750 Insurance Verification Specialist 37500 42500 47500 Insurance Referral Coordinator 37000 40000 45750 Patient Registration Specialist 36750 42750 48000 Health Information Management Specialist 34750 39500 47000 Electronic Medical Records Specialist 33750 36000 39000

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