Remote Medical Coding Specialist

Summary

Join our team of healthcare warriors and become a Contract Medical Coding Specialist at pMD, where you'll help us reach business goals through thorough claim scrubbing and coding accuracy. As a key member of our front-end revenue cycle team, you'll identify and prevent claim errors, ensuring timely payment and exceeding industry standards.

Requirements

• Post-Secondary Certificate in Medical Billing and Coding
• Must be proficient with CPT/ICD-10, NCCI edits, and abreast of the latest coding guidelines issued by the AMA and CMS
• Must be able to work independently in a fast-paced environment
• Exceptional attention to detail
• Must be willing to comply with independent contractor guidelines
• Reside in the U.S

Responsibilities

• Perform claim scrubbing review to support coding and billing accuracy and clean claim submission
• Apply accurate modifiers and ensure that the correct provider, place of service, insurance, filing type, and referrals/auths are included
• Verify claims against NCCI edits to facilitate compliance and prevent coding denials
• Review National Coverage Determinations (if necessary) when scrubbing the charge to adhere to payer policies
• Maintain confidentiality of all patient records