pMD is hiring a
Medical Coding Specialist, Remote - United States

Summary

The job description is for a Contract Medical Coding Specialist at pMD who will perform claim scrubbing and review to ensure coding and billing accuracy. The role requires a Post-Secondary Certificate in Medical Billing and Coding, proficiency with CPT/ICD-10, NCCI edits, and adherence to the latest coding guidelines issued by the AMA and CMS.

Requirements

• Post-Secondary Certificate in Medical Billing and Coding
• Proficient with CPT/ICD-10, NCCI edits, and abreast of the latest coding guidelines issued by the AMA and CMS
• Able to work independently in a fast-paced environment
• Exceptional attention to detail
• 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

Benefits

• Compensation model designed to pay on a per-unit of completed work basis
• Payment is $0.24 per patient encounter reviewed and scrubbed for claim submission
• No minimum requirements for working hours or hours per day