Coding Specialist

This is a fully remote position, open to applicants in Kansas, +3 more states.

📋 Description

• Execute complex professional coding independently across various settings including office/clinic, hospital outpatient, ED/urgent care, ASC, SNF/nursing home, and telehealth.

• Accurately code intricate professional encounters and procedures, ensuring correct sequencing, use of modifiers, E/M level selection, and alignment with documentation.

• Address coding-related edits and denials by pinpointing root causes, coordinating documentation clarifications, and facilitating rebilling processes.

• Apply payer medical policies, NCCI concepts, global service considerations, and telehealth coding regulations to professional-fee claims.

• Offer real-time assistance to colleagues on standard coding scenarios.

• Encourage consistency by sharing best practices.

• Engage in internal quality review programs.

• Execute educational initiatives and corrective measures based on quality review outcomes.

• Review documentation within Epic professional coding work queues and encoder tools.

• Recognize opportunities for documentation improvement and assist in compliant query workflows.

• Undertake other assigned responsibilities.

⛳️ Requirements

• Candidates must reside and work full-time in Arkansas, Kansas, Missouri, Oklahoma, or Texas prior to their first day of employment.

• A High School diploma or GED is mandatory.

• A minimum of 3 years of experience in physician/provider coding is required.

• CPC or CCS-P certification is essential.

• Advanced knowledge of ICD-10-CM, CPT®, HCPCS, and modifiers is necessary.

• Strong proficiency in E/M coding and interpretation of payer policies is crucial.

• Proficiency in navigating Epic professional coding work queues and encoder tools is required.

• Capability to efficiently review EHR documentation across various settings.

• Strong analytical problem-solving skills for the prevention of denials/edits.

• Ability to identify opportunities for documentation improvement and support compliant query workflows.

• Familiarity with risk adjustment concepts and HCC validation when applicable.

• Competence in performing complex professional coding across diverse specialties and settings.

🏝️ Benefits

• Flexible remote/hybrid work options.

• Ongoing career development opportunities.

• Competitive salary.

• Paid Time Off (PTO).

• 401(k) retirement plan.

• Comprehensive medical plans.

• Dental insurance options.

• A robust benefits package.