Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services across multiple specialty areas to ensure accuracy and optimal reimbursement from third-party payers.
Works remotely Monday through Friday in a full-time role.
Requirements & Qualifications
Qualifications
- Two years of medical billing or related experience, or related training from a non-accredited program or accredited agency
- Preferred outpatient women’s and pediatric coding experience
- Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology, and medical abbreviations
Certifications
One of the following certifications is required:
- CCA (AHIMA)
- CCS (AHIMA)
- CCS-P (AHIMA)
- RHIA (AHIMA)
- RHIT (AHIMA)
- CIC (AAPC)
- COC (AAPC)
- CPC (AAPC)
- CPC-A (AAPC)
- CRC (AAPC)
Responsibilities
- Review documentation in EPIC and/or on paper to assign ICD-10-CM, ICD-10-PCS, and CPT codes
- Communicate query opportunities and documentation clarification needs to the education team and/or providers
- Use encoder and/or Optum software to assign appropriate diagnosis and procedure codes
- Sequence diagnoses and procedures to generate clean claims according to coding guidelines
- Verify ADT information on charge sessions, including dates of service, providers, place of service, referral information, and claim forms if required
- Work coding-related charge reviews and claim edits daily within filing deadlines
- Maintain productivity, quality, coding compliance, and federal regulation standards
- Work PB/HB claim edits and reject errors daily
- Work hospital DNBs as assigned per specialty
- Perform charge reconciliation to ensure services are captured in a timely manner
Location
Texas, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
3 weeks ago