Coder II

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

📋 Description

• Evaluate medical records to accurately assign ICD-10 diagnosis and CPT procedure codes in accordance with relevant policies and regulations.

• Oversee patient demographics, clinical documentation, and billing data across practice management systems and hospital records.

• Abstract data while adhering to national, regional, and local policies.

• Utilize the practice management system to document demographics and services rendered for both scheduled and unscheduled surgical cases.

• Employ hospital medical record systems and collaborate with physicians and staff to gather clinical documents and demographics for coding and billing purposes.

• Provide education and support to clinical areas regarding proper documentation and coding of services.

• Engage with providers to address coding-related issues.

• Foster compliance, coding precision, effective communication, accurate billing, and reimbursement processes.

⛳️ Requirements

• High school diploma/GED or equivalent working knowledge is preferred.

• Certification from the American Health Information Management Association (CCS-P) or the American Academy of Professional Coders (CPC) is required.

• A minimum of 3-5 years of professional medical coding experience is preferred.

• Experience, preferably in a multi-specialty setting, with exposure to orthopedics, surgery, pain management, spine, or other complex procedural coding.

• Familiarity with reviewing operative reports and clinical documentation.

• Proficient in assigning CPT, ICD-10-CM, HCPCS, and modifiers.

• Experience in resolving coding edits or discrepancies in documentation.

• Prior involvement with coding audits, payer guidelines, NCCI edits, and physician queries is strongly preferred.

• Current professional coding certification such as CPC, CCS, COC, or equivalent is preferred or required based on organizational standards.

• In-depth knowledge of CPT, ICD-10-CM, HCPCS Level II, modifiers, NCCI edits, global surgical guidelines, and payer-specific coding requirements.

• Ability to interpret complex operative reports and select codes based on documented procedures.

• Strong research, analytical, and problem-solving capabilities.

• Effective written and verbal communication skills.

• Capacity to work independently with minimal supervision.

• Skill in managing a consistent coding workload while achieving productivity and accuracy standards.

• Ability to appropriately escalate complex or uncertain cases.

• Proficient in identifying documentation deficiencies and potential compliance issues.

• Ability to research unfamiliar procedures and consistently apply coding guidelines.

• Adaptability to multiple specialties and evolving payer requirements.

• Sound judgment, accountability, organization, critical thinking, and prioritization abilities.

• Commitment to maintaining quality and timely deliverables.

🏝️ Benefits

• Comprehensive benefits package including medical, dental, and vision plans.

• 100% employer-paid life insurance.

• 401(k) plan with employer match.

• Benefits commence on the first of the month following the hire date (for full-time employees).

• Generous paid sick leave and vacation time.

• 7 paid holidays each year.

• Opportunities for professional growth and advancement.

• Employee referral reward program.

• Option for remote work arrangement.