Coder

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

📋 Description

• Accountable for coding in critical access hospitals, encompassing emergency department services, infusions, Critical Access Hospital Specialty Clinic, professional fees, and Rural Health Clinic.

• Ensure medical claims are coded accurately and promptly, optimizing reimbursement for provided services.

• Receive and assess charge entry data from various practice locations.

• Detect and investigate any incomplete or missing charges.

• Abstract clinical data; convert medical documentation into diagnoses and procedural codes using current coding and classification systems.

• Arrange codes in accordance with established guidelines.

• Keep up-to-date with coding regulations and rules set by the AMA, Centers for Medicare and Medicaid Services (CMS), and other payers.

• Maintain proficient knowledge of Electronic Health Records (EHR) along with other necessary systems to fulfill job responsibilities.

• Report issues to management, including those related to payers, systems, or escalated accounts.

• Identify trends in medical necessity denials and offer recommendations for resolution.

• May undertake additional billing tasks such as claim submissions, following up on unpaid claims, and resolving denials.

• Engage in departmental meetings, in-service programs, and continuing education initiatives.

• Exhibit a professional demeanor towards patients, visitors, physicians, office personnel, and hospital staff.

• Ensure confidentiality of patient information, adhering to relevant policies and procedures.

• Execute other responsibilities as assigned.

⛳️ Requirements

• High School Diploma or GED - mandatory

• Associate Degree - preferred

• Certification as a Professional Coder (CPC) or Certified Coding Specialist (CCS) - mandatory

• Three to five years of experience in emergency room coding, infusion coding, and specialty clinic procedure coding - preferred

• Two years of experience with formal coding training - considered

• Proficient knowledge of medical terminology - mandatory

• Experience in Critical Access Hospital and/or Rural Health Clinic coding is advantageous

• Competency in Microsoft Office

• Proven strong verbal and written communication abilities

• Capability to navigate multiple client systems and manage competing priorities

• Passion for a remote teamwork setting

🏝️ Benefits

• 100% Remote