Remote Medical Coder and Claims Specialist

Summary

The job is for a Medical Coding and Claims Specialist responsible for assigning diagnostic and procedural codes to patient charts using ICD-10-CM, CPT, and HCPCS. The position requires excellent communication skills, 2 years of experience as a Certified Medical Coder, proficiency in outpatient coding guidelines, and experience in Medical Billing and Claims processing.

Requirements

• Excellent communication skills
• Minimum of 2 years relevant experience as a Certified Medical Coder on CPT and ICD 10
• Experience in Medical Billing and Claims, processing new claims, resubmitting denied claims, and managing aging claims

Responsibilities

• Adhere to and maintain required levels of performance in both Coding accuracy and productivity
• Identify appropriate assignment of CPT and ICD-10 Codes for Physician and facility services provided in an Observation service setting, and Inpatient setting
• Abstract additional data elements during the Chart Review process when coding, as needed
• Maintain a thorough understanding of assigned Client Coding specifics
• Perform Coding duties as appropriate according to predetermined schedules
• Review and maintain a record of charts coded, held, and/or missing
• Provide documentation feedback to Providers, as needed, and queries physicians when appropriate
• Performs routine clinical molecular assays
• Performs clinical validations with the routine molecular tests
• Responsible for Claims processing, checking claims denials and resubmission of claims
• Other work or task allocation designated by the Client

Preferred Qualifications

Experience handling the specialty of Dermatology, Pediatric Therapy or Clinical experience is preferred

Benefits

No benefits information was provided in this job description