The Medical Coding Specialist II is responsible for accurately coding healthcare claims and analyzing denials to support proper reimbursement. This role codes hospital outpatient and professional services using official code sets and classification systems based on documentation.
Role details
- Location: Remote
- Schedule: 8:00 AM to 5:00 PM in Eastern, Central, Mountain, or Pacific time zones
- Department: Insurance
- Reports to: Coding Supervisor
- Compensation: $26-$30 per hour, depending on qualifications
Key responsibilities
- Read and analyze patient records
- Code a variety of services, including evaluation and management, laboratory, imaging, injections and infusions, and specialty surgical procedures in clinic and hospital outpatient settings
- Monitor, research, and correct claim denials within health plan requirements
- Submit clean claims for payment
- Comply with Federal and State standards using CCI edits, Medicare bulletins, ACR bulletins, and related guidance
- Maintain knowledge of coding guidelines
- Search documentation across multiple EMR systems such as EPIC, ECW, Cerner, and Meditech
- Interact with clients to ensure accuracy
- Maintain patient confidentiality and information security
- Meet quality and production goals set by the supervisor
Requirements & Qualifications
Required qualifications
- High school diploma or equivalent
- 5 years of on-the-job experience in abstract coding and coding denials for hospital outpatient and professional claims
- Payor and policy research experience
- Experience with the Epic platform
- Current AAPC or AHIMA certification, such as:
- RHIA
- RHIT
- CCS
- CPC
- Or equivalent certification from AAPC or AHIMA
Preferred qualifications
- Associate degree or equivalent in Health Information Management
- Meditech experience
- Rural Health Clinic experience
- Critical Access Healthcare experience
Employment eligibility
- Must be legally authorized to work in the United States at the time of hire
- No employment visa sponsorship is provided
- Pre-employment background check required
- Candidates residing in New York are not eligible for this position
Benefits & Perks
Benefits and perks
- Comprehensive paid training
- Medical, dental, and vision insurance
- HSA and FSA options
- 401(k) with company match
- Paid wellness time and holidays
- Employer-paid life insurance and long-term disability
- Internal growth opportunities
Location
N/A
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 month ago
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