REMOTE Professional Services Coder
Shift: M-F 8a-5p PST; weekends and Overtime are options
Required Certifications: CCS, CCS-P, CPC, COC and/or CIC Coding credential required. (Excludes apprenticeship classification)
Experience Required: Specialist: A minimum of 2-5 years previous pro-fee coding experience required. Experience in medical billing, and Professional Billing EMR workflows is preferred.
Additional Comments:
Cannot hire in following states: CA, NY, CO, NJ, IL, HI
Additional Information:
Systems Worked In: In PB coding: EPIC, Select coder and 3M
Computer/Typing: Must be proficient with Microsoft Office Suite, including Outlook, Power Point, Excel, and Word. Must have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.
For pro-fee coders, we are looking for coders with specific coding skills in cardiology, surgery, women’s health, behavioral health, hospitalist, GI, and Peds, pathology, transplant, trauma
- To be responsible for accurately assigning diagnostic and procedural coding for all encounters associated with Renown Health Network and Ambulatory Services. This will also include translating patient information into alpha-numeric medical codes using patient treatment, health history, diagnosis, and related information. Assignment of ICD-10-CM and CPT codes must be consistent with CMS’ Official Guidelines and any regulatory agency guidelines.
- Incumbents must be proficient with CPT and ICD-10-CM coding systems and responsible for assigning ICD-10-CM diagnoses codes and CPT procedure codes accurately and completely to ensure optimal reimbursement and coding quality. Coders in this position are held accountable for adhering to coding guidelines; accounts must be coded within the quality and productivity standards specified by department leadership.
- Incumbent is responsible for abstracting, analyzing, and assigning ICD-10-CM, CPT, HCPCS codes and appropriate modifiers for evaluation and management (E/M), minor procedures, and diagnostic tests by using either computerized or manual systems. Researches and resolves coding and reimbursement issues to ensure the accuracy, quality, and integrity of coding practices. Other responsibilities include:
- Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for professional service encounters to determine the highest level of specificity ICD-10 codes, CPT codes, HCPCS codes, and modifiers.
- Reviews physician assigned diagnosis code after thorough review of the medical record and, if necessary, queries physician for additional clarity in a professional manner.
- Able to accurately abstract information from the medial records into the abstract system, according to established guidelines.
- Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC) adheres to official coding guidelines.
- Enters and validates codes, charges and other edits flagged in EPIC for review.
- Review documentation (and returned accounts) to verify and correct place of service, billing and service providers, or other missing data elements (ie: NDC #, or number of units)
- Code/Audit encounters within the Professional Services Coding Epic queues.
- Complete accountable work related to daily unbilled charges to ensure timely billing in conjunction with billing and compliance guidelines.
- Address appeals and review documentation needed for insurance denials to facilitate expedient resolution and reimbursement.
KNOWLEDGE, SKILLS & ABILITIES
Knowledge of Anatomy and Physiology, Pharmacology, Disease Pathology, and Medical Terminology.
Knowledge of modifiers, ICD-10-CM, CPT (including E/M) and HCPCS coding.
Knowledge of Evaluation and Management Guidelines and auditing to assist in provider education and identifying possible revenue opportunities.
Conversion of written description to proper billing codes.
Ability to appeal CPT and ICD-10-CM for maximum reimbursement.
Utilize critical thinking and problem-solving abilities.
Comprehension of disease processes.
Ability to work well with others.
Ability to navigate the Electronic Medical Record to identify appropriate documentation for coding/billing in support of submitted department charges.
Uphold a strong work ethic characterized by honesty and dependability.
Demonstrate personal time management skills, including organization, prioritization, and multitasking.
Adherence to company policies, procedures, and directives.
Why You Should Work With Me:
-First hand consideration with hiring managers and TOP healthcare facilities.
-My services to you are completely free, I am here to make the interviewing-hire process easy and stress free.
-100% confidentiality.
-Plus more!!
APPLY NOW! Or reach out to me directly at 617-746-2768 (accepts texts) / Megan@ka-recruiting.com. OR schedule a quick call using this link: calendly.com/megankarecruiting
