Remote Facility Inpatient Coder

Summary

This job is for a remote Certified Professional Coder who will work under the guidance of the Coding Manager to improve charge capture accuracy through various means such as audits, coding reviews, process improvement, education, collaboration, and reporting. The role requires advanced knowledge in coding, auditing, and documentation guidelines, with a medical billing/coding diploma or certificate required and 3-5 years’ experience as a coder and 2 years of experience in auditing/chart reviews preferred.

Requirements

• Requires advanced knowledge in coding, auditing, and documentation guidelines. CIC, CPC-I or CCS and CPMA or CEMA is required
• Part of the Revenue Integrity Department and provides support to departments within the Revenue Cycle
• Ensure applicable laws and regulations of working with confidential information are adhered to
• Meet department productivity standards
• Consistently reports to work on time and prepared to perform duties of position
• Demonstrate flexible and efficient time management and ability to prioritize workload
• Medical Billing/Coding Diploma or Certificate Required
• 3-5 years’ experience as a coder and 2 years of experience in auditing/chart reviews preferred
• Excellent typing and 10-key speed and accuracy
• Excellent mathematical skills
• Proficient knowledge of medical terminology, ICD-9 and CPT coding
• Excellent communication skills (written and verbal) and strong organizational skills
• Strong organizational skills; attention to detail and good group presentation skills
• High school diploma and bachelor’s degree

Responsibilities

• Comply with all legal requirements regarding coding procedures and practices
• Conduct audits and coding reviews to ensure all documentation is precise and accurate
• Assign and sequence all CPT, ICD and DX codes for services rendered
• Collaborate with billing department to ensure all bills are satisfied in a timely manner
• Communicate with insurance companies about coding errors and disputes
• Review coding data for analysis and research associated with billing appeals and denials
• Contact physicians and other health care professionals with questions about treatments or diagnostic tests given to patients with regard to coding procedures
• Ability to identify PSI triggers or have working knowledge of PSI triggers which includes identifying and assigning co-morbidity and complications
• Assign the appropriate DRG, discharge disposition code and principal DX codes
• Serves as the liaison between revenue cycle operations and clients as it relates to charge capture documentation and reconciliation
• Possesses a clear understanding of the physician revenue cycle
• Oversees, understands and communicates coding and charging processes for each client account based on their existing EHR system as it relates to office and hospital-based services which includes charge captures charge linkages to the CDM and charging processes
• Analyzes and communicates denial trends to Clients and operational leaders

Benefits

• Access to a 401(k) Retirement Savings Plan
• Comprehensive Medical, Dental, and Vision Coverage
• Paid Time Off
• Paid Holidays
• Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services