Coder, Women's Health and Allergy/Immunology

This is a fully remote position, open to applicants in North Dakota, +2 more states.

📋 Description

• Act as a resource for providers concerning covered indications and the necessary documentation.

• Assist in technical and professional services at provider clinics, Ambulatory Surgery Centers, and hospital professional services.

• Understand and facilitate Medicare and Commercial Carrier workflows for daily coding, denial reviews, and appeals management.

• Prepare the necessary documents and information for appeals.

• Monitor and verify physician charge capture.

• Engage in coding team meetings and act as a subject matter expert.

• Review medical documentation, assigning modifiers, diagnostic codes, and procedure codes.

• Assess compliance with applicable laws, regulations, standards, policies, and procedures.

• Execute accurate and timely ICD-10-CM, HCPCS, and CPT coding.

• Review and audit medical records to ensure appropriate service reimbursement.

• Communicate coding guidelines to physicians and healthcare providers to enhance the accuracy of documentation.

⛳️ Requirements

• An Associate degree in Health Information Technology or a Coding Certification is required.

• Specific knowledge of diagnostic and procedural terminology is essential.

• Preferred successful completion of coursework from an accredited institution in ICD diagnosis, CPT, HCPCS coding schemes, medical terminology, or human anatomy/physiology.

• One of the following certifications is required: RHIA, RHIT, CPC, CPC-A, CCS, CCS-P, CCS-H, or COC.

• If not certified upon hiring, certification must be obtained within one year of the hire date.

• Proficient knowledge of ICD-10-CM, HCPCS, and CPT coding.

• Ability to interpret, analyze, and abstract data/documentation effectively.

• Strong problem-solving, time-management, and organizational skills.

• Computer proficiency is necessary.

• Capacity to work independently, manage multiple tasks, and make informed and accurate recommendations to medical professionals.

🏝️ Benefits

• Flexible schedule from Monday to Friday.

• 8-hour day shifts.

• 40 scheduled hours per week.