Remote Medical Coder, Professional (Certified through AAPC or AHIMA)

Job Description

Job Summary

The Professional Fee Coder is part of a team which has full responsibility for the efficient and accurate flow of coded professional and technical charges. Coder applies the appropriate diagnoses and procedural codes and applicable modifiers to individual patient health information for data retrieval, analysis and claims processing. Works closely with clients to optimize reimbursement, ensure charge capture, reduce late charges and provide feedback to providers. Provides physicians routine feedback on documentation and compliance standards. – Conducts training for coding staff and providers. Resolves pre-bill edits and appropriate follow-up. Provide statistical data and/or trending to management. Exercises judgment within defined procedures and practices to determine appropriate action. Receives general instructions on routine work, detailed instructions on new assignments.

Coding positions are remote. Coder is responsible for providing their own equipment; must be Microsoft based, with dual-monitors.

Job Duties

The job duties listed are typical examples of work performed by positions in this job classification and are not designed to contain or be interpreted as a comprehensive inventory of all duties, tasks, and responsibilities. Specific duties and responsibilities may vary depending on client or program needs without changing the general nature and scope of the job or level of responsibility. Employees may also perform other duties as assigned.

Adheres to official coding guidelines.

· Applies CPT-4, ICD-10-CM, HCPCS and modifiers following coding guidelines.

· Code all documented professional services and submit for billing.

· Perform compliance audits on coders and providers

· Ensure coded services, provider charges and medical record documentation meet appropriate guidelines or standards.

· Ensures all services are accounted for and billed.

· Keeps abreast of coding guidelines and reimbursement reporting requirements.

· Provides feedback to physicians related to revenue opportunities.

· Queries physicians when code assignments are not straightforward or documentation in the record in inadequate, ambiguous, or unclear for coding purposes.

· Utilize appropriate methods to ensure all documented professional services are submitted timely.

· Utilizes correct coding practices to file clean claims aiding in improved cash flow.

· Ensures all error work queues are addressed timely

· Enhanced Medical Revenue (EMR) is expanding our client base, looking to fill multiple positions.

· Enhanced Medical Revenue is an Equal Opportunity Employer who strongly values diversity and is committed to equal opportunity and non-discrimination in all its policies and practices, including the area of employment. Accordingly, EMR does not discriminate against any person based on race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Qualifications

Minimum Qualifications:

– Must reside in the United States of America
– Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.
– Education: Associate degree in a work-related field/discipline from an accredited college or university or an equivalent combination of education/experience is preferred.
– Experience: 2+ years of directly related work experience preferred. Must have experience in coding 3 or more specialties. Experience in preparing training materials and conducting training to providers, administrators, and coders.
– License/Certifications: Certified Professional Coder Certification (CPC) or Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) or Certified Coding Specialist-Physician Based (CCS-P) or Certified Coding Specialist (CCS).

Knowledge, Skills and Abilities

These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education, or licensure/certification.

· Ability to conduct analysis and formulate conclusions

· Ability to plan, organize, prioritize, work independently and meet deadlines

· Ability to speak and write effectively at a level appropriate for the job

· Ability to utilize the ICD-10-CM & CPT-4 coding conventions to code medical record entries.

· Ability to prepare training materials and deliver contents to selected audience

· Ability to fill in for coding management, allocating work to coders and communicating with administrators and providers

Other Jobs You May Be Interested In

· Knowledge of computer systems and software used in by clients

· Knowledge of medical terminology, anatomy, disease processes and operative procedures; demonstrated ability to incorporate these in making sounding coding

· Knowledge of standards and regulations pertaining to the maintenance of patient medical records; medical records coding systems; medical terminology; anatomy and physiology and study of diseases

· Proven record of accuracy, productivity, dependability, and problem-solving skills

· Resourceful, tactful, firm, cooperative in team setting

· Ability to work independently

· Excellent communications skills verbal and written

· Good phone etiquette

· Set priorities effectively in an environment of multiple demands

· Communicate with insurance companies about coding errors and disputes

· Submit statistical data for analysis and research by other departments

· Epic experience preferred but not required.

EMR does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of EMR and EMR will not be obligated to pay a placement fee.

Company Description

Hiring Company INFO
Enhanced Medical Revenue is a progressive, forward-thinking professional services firm dedicated to helping healthcare providers enhance their financial performance. Our medical revenue service offerings are broad and include:Accurate Professional Coding Services

– Medical Billing Services
– Denial Resolution
– Strategic Revenue Cycle Analysis / Assessment
– Optimization of Current Financial Systems and Software
– Standardization and Process Improvement in the areas of Accounts Receivable Management
– Staff Training and EducationBenefits

– Medical, Dental and Vision
– Life Insurance, Long-Term Disability, Accident and Hospital Indemnity
– 401K
– Ameriflex Spending Plan
Hiring Company INFO Enhanced Medical Revenue is a progressive, forward-thinking professional services firm dedicated to helping healthcare providers enhance their financial performance. Our medical revenue service offerings are broad and include: Accurate Professional Coding Services – Medical Billing Services – Denial Resolution – Strategic Revenue Cycle Analysis / Assessment – Optimization of Current Financial Systems and Software – Standardization and Process Improvement in the areas of Accounts Receivable Management – Staff Training and Education Benefits – Medical, Dental and Vision – Life Insurance, Long-Term Disability, Accident and Hospital Indemnity – 401K – Ameriflex Spending Plan.

Remote Medical Coder, Professional (Certified through AAPC or AHIMA)