Coder – Primary Care

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

📋 Description

• Conduct thorough reviews and accurately code and abstract fundamental services, encompassing outpatient diagnostic testing, Emergency Department visits, laboratory services, radiology, minor primary care services, and other less intricate medical coding.

• Allocate ICD-10, CPT, and/or HCPCS codes in accordance with established coding guidelines, rules, and regulations.

• Execute professional coding for minor primary care, Urgent Care, and/or Emergency Department encounters.

• Assess evaluation and management codes along with CPT procedure codes.

• Carry out facility charging for E&M levels, CPT procedures, and/or medication administration in Emergency Department/Observation units.

• Conduct hospital coding for diagnoses and/or CPT procedure coding related to emergency department, laboratory, radiology, and other diagnostic services.

• Examine medical documentation to ensure it substantiates the assigned codes.

• Liaise with providers to clarify documentation or to request additional information as necessary.

• Collaborate with team members and departments to achieve monthly departmental objectives, including DNFB, Pre-AR, Denials, and Claim Edits.

• Investigate patient accounts in response to inquiries and/or discrepancies.

• Adhere to departmental productivity and accuracy benchmarks.

• Confirm accurate discharge disposition based on medical documentation.

• Maintain knowledge of relevant laws, accreditation standards, and regulatory requirements.

• Report any known or suspected unethical behavior and compliance issues as required.

⛳️ Requirements

• High School diploma or an equivalent qualification.

• A minimum of 1 year of coding experience OR possession of an AHIMA/AAPC certification.

• Strong verbal and written communication abilities.

• Computer proficiency and dexterity for efficient data entry and information retrieval.

• Competence in using Windows-style applications, role-specific software, and keyboard operations.

• Capability to adhere to applicable Medicare, Medicaid, third-party payer, federal, state, and local legislation, accreditation standards, and regulatory requirements.

🏝️ Benefits

• Equal Opportunity Employer.

• Reasonable accommodations available for qualified individuals with disabilities.

• Accessible application support and accommodation assistance.