Coder

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

📋 Description

• Accurately and efficiently code all cases to the highest standard to maximize reimbursement.

• Ensure compliance with quality and productivity benchmarks.

• Precisely code diagnoses, procedures, and modifiers in line with established guidelines for government and third-party payers.

• Review chart documentation for accuracy and completeness.

• Identify discrepancies in chart documentation and collaborate with staff and the Coding Supervisor to resolve them.

• Communicate with Claims Resolution Specialists and Business Office personnel to correct errors and clarify issues.

• Work alongside providers to gather complete documentation that supports coding efforts.

• Monitor adherence to policies, procedures, coding guidelines, and regulatory requirements.

• Spot opportunities for process improvement and propose efficiency enhancements.

• Notify the Coding Supervisor of trends, discrepancies, inconsistencies, or changes from payers.

• Engage in special projects, personal development training, and cross-training initiatives.

• Collaborate with peers and various functional areas within the Coding and Revenue Integrity department.

• Uphold patient confidentiality and report any suspected compliance issues or violations.

• Complete Annual Compliance Training.

• Execute other job-related duties as assigned.

⛳️ Requirements

• CPC, CCS-P, CMRS, or AAPC certification is mandatory.

• High School Diploma or equivalent is required.

• A minimum of 3 years of experience is needed.

• Entry-level knowledge of Medical Billing and Coding terminology is preferred.

• Experience in a Urology or physician practice setting is preferred.

• Extensive knowledge of CPT, HCPCS, modifiers, diagnosis codes, insurance coverage plans, medical terminology, and anatomy and physiology.

• Familiarity with medical terminology, CPT and ICD coding, as well as the complete revenue cycle process.

• Proficiency with Electronic Health Record (EHR) systems and Microsoft Office applications.

• Understanding of Medicare, Medicaid, managed care, and third-party payer guidelines.

• Knowledge of government regulations and healthcare compliance standards.

• Strong analytical and problem-solving abilities.

• Capacity to manage multiple tasks and meet competing deadlines while maintaining high accuracy and attention to detail.

• Ability to generate reports and create professional presentations.

• Skill in maintaining confidentiality when handling sensitive information.

• Ability to work both independently and collaboratively across teams and departments.

• Capability to identify coding issues and avoid delays in claim submissions and denials.

• Adherence to HIPAA, Solaris Health Code of Conduct, and relevant laws and regulations.

🏝️ Benefits

• Competitive salary.

• Paid Time Off (PTO).

• Holiday pay.

• Comprehensive benefits package.

• Health insurance.

• Dental insurance.

• Vision insurance.

• Life insurance.

• Pet insurance.

• Health savings account.

• Paid sick leave.

• Paid time off.

• Paid holidays.

• Profit sharing.

• Retirement plan.

• Opportunities for personal development training.

• Cross-training programs.