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A certified, professional coder (CPC) is a medical coder who is responsible for assigning the correct coding of medical reports. Coders make sure that medical coding used is in compliance with all medical coding laws and regulations..
CERTIFIED’S ABILITY
- Knowledge of assigning accurate medical codes for diagnoses, procedures, and services performed by physicians and other qualified healthcare providers.
- Knowledge of medical coding guidelines and regulations, including compliance and reimbursement – allowing a CPC to better handle issues such as medical necessity, claims denials, bundling issues, and charge capture.
- Knowledge of anatomy, physiology, and medical terminology necessary to correctly code provider diagnosis and services.
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