Responsible for accurate coding and billing of inpatient and outpatient professional services using appropriate medical record documentation. Work is performed in accordance with CPT, ICD, American Hospital Association, Centers for Medicare and Medicaid Services, and organizational coding guidelines.
Essential Duties
- Review and audit documentation to verify the type and level of professional services rendered using current Evaluation and Management Guidelines and CPT coding rules.
- Query providers or appropriate staff when documentation is missing, inadequate, ambiguous, or unclear for coding purposes.
- Summarize audit findings and assist with training providers on coding and documentation requirements to support accurate reimbursement.
- Review and assign CPT codes for procedures performed on and off campus, including appropriate CPT modifiers for atypical services.
- Attend meetings and educational conferences for professional development and to maintain coding credentials.
Additional Details
- Supervisory responsibility: None
- Travel: Minimal local travel may be required
- Work setting: Fully remote; candidates must reside in Colorado
Requirements & Qualifications
Minimum Qualifications
- High school diploma or equivalent required; associate degree in Health Information Technology, Medical, or Business field preferred.
- At least 1 year of physician coding or medical records experience required.
- One of the following certifications required: CPC, COC (CPC-H), CCA, CCS, CCS-P, CPC, or RHIT.
Benefits & Perks
Benefits
- Comprehensive medical coverage with multiple Cigna health plan options for Colorado, regional office, and remote employees
- Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA)
- Paid time off and six paid holidays
- Dental and vision coverage
- 403(b) retirement plan with employer contributions after two years
- Wellness incentives up to $200 annually
- Tuition reimbursement up to $5,250 annually
- Child care assistance through a childcare FSA with employer contribution
- Public Service Loan Forgiveness (PSLF) eligible employer
- Employer-paid disability and life insurance
- Optional voluntary benefits including accident, hospital indemnity, and legal plan coverage
- Exclusive discounts on local services, insurance, and RTD bus passes
Location
Denver, Colorado, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
Yes
Posted
1 month ago