Medical Coder III

This is a fully remote position, open to applicants in Alabama, +25 more states.

📋 Description

• Conduct advanced coding for institutional and professional healthcare.

• Utilize ICD-CM, ICD-PCS, HCPCS, and CPT coding systems.

• Implement reimbursement methodologies such as PPS, DRGs, APCs, and RBRVS.

• Leverage expertise in clinical documentation, healthcare compliance, revenue cycle management, EHR workflows, and coding audit principles.

• Ensure precision in reimbursement and adherence to regulatory standards.

• Promote ongoing process enhancements.

• Collaborate with various medical specialties, diagnostic and therapeutic procedures, ancillary services, and coding-related revenue cycle processes.

• Adhere to government and commercial reimbursement guidelines while identifying potential fraud and abuse risks.

⛳️ Requirements

• A minimum of five (5) years of medical coding and/or auditing experience across two (2) or more medical, surgical, and ancillary specialties within the last 10 years; OR three (3) years of medical coding or auditing experience specifically in a Military Treatment Facility.

• At least one (1) year of documented expertise in the specialty area.

• Experience in inpatient coding.

• Completion of an Associate's Degree or higher in Health Information, Healthcare Administration, Biological Science; OR a University Certificate in medical coding; OR at least 30 semester hours of university/college credit with pertinent coursework; OR successful completion of an AAPC or AHIMA coding certification preparation course; OR successful completion of qualifying military or U.S. Maritime Service medical training.

• Possession of two certifications from the following groups: one professional certification (AAPC CPC or AHIMA CCS-P) and one institutional certification professional (AAPC CIC or AHIMA CCS) or institutional certification (AHIMA RHIA or AHIMA RHIT).

• Achieve a minimum passing score of 80% on the medical coding examination.

• Advanced understanding of ICD-CM, ICD-PCS, HCPCS, CPT, PPS, DRGs, APCs, and RBRVS.

• Familiarity with medical terminology, anatomy and physiology, pharmacology, disease processes, medical specialties, diagnostic and therapeutic procedures, ancillary services, and revenue cycle management.

• Knowledge of government and commercial reimbursement guidelines, healthcare fraud and abuse regulations, coding audit principles, clinical documentation enhancement, process improvement, and EHR workflows.

• U.S. Citizenship is mandatory.

• Capability to independently lift 20–25 pounds may be necessary.

• Ability to sit for extended periods and operate a computer.

🏝️ Benefits

• Health & Wellness.

• Flexible work scheduling.

• Opportunities for remote work.

• Up to 40 hours of work per week.

• Equal opportunity and affirmative action employer dedicated to fostering a diverse and inclusive workforce.