Certified Coder

This is a fully remote position, open to applicants in Ohio.

📋 Description

• Accurately determines CPT, HCPCS procedure and professional supply codes, along with ICD-10-CM diagnosis codes utilized for billing services rendered by physicians and licensed non-physician providers.

• Engages in activities related to physician practice management and coding to ensure adherence to payer reimbursement policies and Federal health care program standards.

• Offers ongoing training and education on coding and compliance matters to physicians, non-physician providers, and staff.

• Collaborates with patient care providers concerning billing and documentation policies, procedures, and regulations; seeks clarification on conflicting, ambiguous, or vague documentation while addressing coding and compliance queries.

• Conducts audits and analyses of payer denials; provides insights on compliance issues identified during audits and suggests improvements in documentation practices to mitigate future claim rejections.

• Investigates inquiries from providers and patients regarding fees, reimbursements, and denials.

• Monitors data sources to guarantee the receipt and analysis of all charges.

• Updates encounter forms/super bills annually to reflect changes in diagnostic, procedural, and supply codes.

• Demonstrates attendance, punctuality, professionalism, attention to detail, cooperation with colleagues and supervisors, and courteous behavior towards customers, vendors, and patients.

• Performs additional duties or special projects as assigned.

⛳️ Requirements

• High School diploma or GED is required.

• Certification in CPC, CCS, CCS-P, RHIT; or specialty coding with one to three years of experience directly related to coding and reimbursement for physician services; or an equivalent combination of education and experience.

• Proficient knowledge of CPT, HCPCS procedure and professional supply codes, as well as ICD-10-CM (or current version) diagnosis codes for billing services provided by physicians and licensed non-physician providers.

• Familiarity with third-party fee profiles and reimbursement requirements.

• Awareness of current and emerging issues and trends in medical coding procedures and requirements.

• Strong analytical skills to gather, interpret data, and develop, recommend, and implement solutions.

• Ability to interact and communicate effectively with individuals at all organizational levels.

🏝️ Benefits

• Medical, dental, and vision coverage.

• Health reimbursement accounts.

• Flexible spending accounts.

• Retirement plans.

• Employee assistance program.

• Paid time off.

• Holidays.

• Wellness program.