Coder

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

📋 Description

• Review chart documentation to ensure accuracy and completeness.

• Identify discrepancies in chart documentation and collaborate with staff and the Coding Supervisor to address issues.

• Communicate with Claims Resolution Specialists and Business Office personnel to rectify errors and clarify concerns.

• Ensure precise coding of diagnoses, procedures, and modifiers.

• Work in partnership with providers to secure comprehensive documentation that supports coding.

• Meet quality and productivity standards while monitoring adherence to policies and procedures.

• Identify trends in process opportunities and suggest enhancements for efficiency.

• Stay updated on coding guidelines as well as state and federal regulations.

• Ensure compliance with third-party and governmental coding, documentation, compliance, and reimbursement standards.

• Raise coding issues, trends, inconsistencies, and payer changes to the Coding Supervisor.

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

• Collaborate with colleagues 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.

• Perform additional related duties as required.

⛳️ Requirements

• CPC, CCS-P, CMRS, or AAPC certification required.

• High School Diploma or equivalent is mandatory.

• Minimum of 3 years of experience is required.

• Entry-level experience in Medical Billing and Coding Terminology is preferred.

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

• 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, and the complete revenue cycle process.

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

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

• Knowledge of governmental regulations and healthcare compliance standards.

• Strong analytical and problem-solving capabilities.

• Ability to manage multiple tasks and competing deadlines efficiently.

• Skill in developing reports and creating professional presentations.

• Ability to maintain the confidentiality of sensitive information.

• Capability to work independently as well as collaboratively across teams and departments.

• Ability to identify coding issues and prevent delays in claim submissions and denials.

• Commitment to complying with HIPAA, Solaris Health Code of Conduct, and relevant laws and regulations.

🏝️ Benefits

• Competitive salary.

• Paid time off (PTO).

• Holiday compensation.

• Health insurance coverage.

• Dental insurance coverage.

• Vision insurance coverage.

• Life insurance options.

• Pet insurance availability.

• Health savings account (HSA).

• Paid sick leave.

• Paid holidays.

• Profit-sharing opportunities.

• Retirement plan options.

• Opportunities for personal development training.

• Cross-training programs available.