Certified Coder

Summary
The Certified Coder is responsible for ensuring accurate and compliant coding of medical
services provided at Therapy Tree. This role supports the revenue cycle by reviewing
provider documentation, assigning appropriate CPT, HCPCS, and ICD-10 codes, and
ensuring claims are submitted in compliance with payer guidelines. The Certified Coder
collaborates closely with billing and AR staff to reduce denials, improve revenue capture,
and support coding accuracy.
Essential Duties and Responsibilities
? Review provider documentation for accuracy, completeness, and compliance with
coding guidelines.
? Assign appropriate CPT, HCPCS, and ICD-10 codes to therapy services in accordance
with payer rules and Therapy Tree policies.
? Ensure claims are coded accurately to maximize reimbursement while minimizing
compliance risks.
? Conduct coding audits and provide feedback to improve accuracy and compliance.
? Collaborate with billing and AR teams to resolve coding-related claim rejections and
denials.
? Maintain current knowledge of payer rules, federal and state regulations, and therapy-
specific coding updates.
? Assist in updating coding policies, cheat sheets, and workflow guidelines as required.
? Support the development and delivery of staff training sessions on coding and
documentation.
? Ensure compliance with HIPAA, Therapy Tree standards, and payer regulations.
? Any other duties as assigned by RCM leadership.
Competency Requirements
Attention to Detail: Demonstrates accuracy and thoroughness in reviewing documentation
and assigning codes.
Compliance Knowledge: Understands and applies payer, state, and federal coding
regulations consistently.
Problem Solving: Identifies coding issues, analyzes root causes, and works with staff to
resolve them.

Communication: Clearly explains coding and documentation requirements to providers and
tea ---------- mbers.
Teamwork: Works collaboratively across RCM functions to support efficient and accurate
claims processing.
Education and Experience
High school diploma or GED required; Associate degree preferred.
Minimum of 2 years of medical coding experience required, preferably in therapy or
outpatient services.
Current certification required: CPC (Certified Professional Coder)
Strong knowledge of CPT, HCPCS, ICD-10 coding, and payer-specific guidelines.
Experience with electronic health record (EHR) and practice management systems is
strongly preferred.
Proficiency with Microsoft Office Suite (Excel, Word, Outlook).
Physical Demands & Work Environment
Regularly required to sit for extended periods, use hands to type and handle documents,
and communicate verbally.
May occasionally lift and/or move up to 10 pounds.
Work environment is an office setting with moderate noise levels.