The Professional Coder reviews, analyzes, and validates CPT and ICD-10 diagnosis codes and charges applied by providers to ensure compliance with federal and state regulations and insurance carrier guidelines. This role performs accurate and compliant coding of CPT and ICD-10 diagnosis codes and is remote.
Responsibilities include:
- Review, analyze, and validate CPT, ICD-10 diagnosis codes, HCPCS, modifiers, and charges applied by providers
- Perform accurate and compliant coding of CPT and ICD-10 diagnosis codes
- Apply knowledge of NCCI edits and relative value units as appropriate
- Ensure productivity and quality standards are met
- Review denials and respond appropriately and timely
- Perform audits as determined by management
- Assist with application testing for identified coding workflows
- Participate in staff meetings, department meetings, webinars, workshops, and conferences as appropriate
- Collaborate effectively with people from different disciplines and technical backgrounds
- Stay current on insurance products, policies, procedures, and state and federal mandates related to coding and documentation
- Interact with providers and staff to support accuracy and specificity in documentation and coding
Requirements & Qualifications
High school diploma or GED required.
- 1-3 years of experience in provider professional fee coding preferred
- Working knowledge of provider professional fee coding and charge processing
- Computer experience in a Windows environment with proficiency in Microsoft Word and Excel
- Excellent verbal and written communication skills
- CPC, CCA, CCS, COC, RHIT, RHIA, or other AHIMA/AAPC coding credential required and in good standing
Equivalent combinations of relevant education and experience may be considered.
Location
New York, US
Employment Type
Full-time
Experience Level
Associate
Salary Range
$59,066 - $88,599
Remote work allowed
Yes
Posted
1 month ago
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