Coder

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

📋 Description

• Assign the correct ICD-10-CM/PCS and CPT diagnostic and procedural codes for both outpatient and inpatient encounters, as well as ancillary encounters and ambulatory/provider-based clinics.

• Access patient health records and computer systems to identify diagnosis and procedure codes, MS-DRGs, APCs, CPT/HCPCS assignments, and necessary modifiers.

• Confirm charges in relation to health record documentation.

• Liaise with clinical staff, physicians, office personnel, and Clinical Documentation Improvement Specialists regarding issues in documentation.

• Recognize concerns and inform leadership for resolution.

• Address moderate to complex issues.

• Monitor missing documentation, charges, and physician queries that need follow-up.

• Achieve coding quality and productivity benchmarks.

• Uphold the confidentiality of patient information.

• Stay updated on coding and reimbursement guidelines and regulations.

• Execute additional duties as assigned by leadership.

• Comply with relevant coding and reimbursement laws, regulations, ethical standards, and organizational policies.

⛳️ Requirements

• A high school diploma coupled with 2 years of experience, or an Associate’s degree in Coding or a related field without experience required.

• One or more coding certifications from the listed options preferred, such as CPC, COC, CIC, CPC-P, CRC, or CCA.

• RHIT and CCS certifications are preferred.

• Proficient understanding of medical terminology, anatomy and physiology, diagnostic and procedural coding, MS-DRG/APC grouping, charge description master functions, and modifiers.

• Familiarity with third-party reimbursement regulations and billing practices.

• Experience with encoding/grouping software.

• Ability to utilize standard desktop and Windows-based computer systems, including email, internet, and computer navigation.

• Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG, and APC coding principles and guidelines.

• Understanding of Prospective Payment System methodology for inpatient, outpatient, ambulatory, and provider-based clinic encounters.

• Knowledge of hospital and professional coding, including provider-based billing.

• Awareness of Joint Commission and CMS documentation regulations.

• Understanding of privacy, security, confidentiality, access, and release-of-information practices.

• Experience supporting learning needs and providing training to coding staff.

• Strong analytical and problem-solving capabilities.

• Exceptional oral, written, and interpersonal communication skills.

• Capacity to organize and prioritize tasks effectively.

• Ability to adapt to change and tackle challenges proactively.

• Skill in collaborating with physicians and managerial staff across all levels.

• Proof of citizenship or immigration status is required to verify lawful right to work in the United States.

🏝️ Benefits

• Opportunity to work remotely.

• Commitment to equal opportunity employment.

• Focus on healthcare with a community-oriented culture.