This is a US based remote role.
This role is a permanent full time position.
The Coding Specialist is responsible for abstracting all E/M, CPT, HCPCS, ICD-10-CM, modifier, and units from medical record documentation. Responsibilities include accurately entering data into coding/billing software and/or Excel reports, performing accurate coding using applicable guidelines and facility protocols, and communicating with staff and/or providers as needed. Provide written feedback of coding results including comments, summary of findings, and recommendations. Ensure compliance with federal and state laws, regulations and standards related to health information and coding principles.
Assign ICD-10 CM and CPT codes with modifiers for services provided in various facility environments depending on client assignment. Demonstrate thorough understanding and ability to research all aspects of coding, compliance, documentation, and reimbursement for assigned clients and specialties. Review medical records and all applicable documentation to determine appropriate codes for services and diagnoses. Ensure diagnosis codes meet local and national medical necessity guidelines. Utilize coding resources and reference materials to ensure coding accuracy.
Maintain accurate client worksheets and deliverables as well as records of time spent. Monitor clients for potential compliance concerns and communicate with leadership. Demonstrate technical competency in using the facility encoder interfacing with hospital/physician systems or EMR remotely. Show proficiency with Microsoft Office applications.
Assist with periodic client updates, provider education, and documentation improvement. Identify trends in provider documentation and proactively suggest documentation improvements. Review and resolve coding edits and denials and assist with rebilling accounts if necessary. Maintain knowledge of laws, regulations, and industry guidance impacting compliant coding. Meet all coder productivity and quality goals, maintaining a 95% accuracy rate.
Other duties as assigned.
High School Diploma or GED required. Minimum of two (2) years professional fee coding experience unless otherwise noted. Associates or bachelor's degree in health information preferred but not required. Must be a certified coder through AAPC or AHIMA (CPC, COC, CCS, CCS-P, RHIT, RHIA). Knowledge of ICD, CPT, HCPCS, Anatomy, Physiology, Medical Necessity, Modifiers, and Denials. Excellent writing and interpersonal skills. Ability to work independently.
Knowledge Areas:
- Organizational policies and procedures.
- Coding documentation and reimbursement.
- Healthcare administration and business principles.
- Clinical processes and procedures related to healthcare coding.
- Health insurance policies and claims processing.
- Anatomy, clinical disease process, and medical terminology.
Skills:
- Effective and professional communication with coding, clinical, and administrative staff.
- High attention to detail, analytical and writing skills.
- Establish and maintain professional working relationships.
- Analytical, organizing, planning, and problem-solving abilities.
- Initiative, judgment, discretion, and decision-making to achieve objectives.
- Ability to identify problems and suggest resolutions.
- Proficient with MS Word, Excel, and PowerPoint.
Location
N/A
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
3 weeks ago