Medical Coding Specialist

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

📋 Description

• Provide efficient and precise coding services for member clients, ensuring adherence to payer requirements, organizational policies, and all relevant coding guidelines.

• Extract and analyze pertinent clinical data—including diagnoses and procedures—from patient medical records and electronic health systems to facilitate accurate code assignment.

• Evaluate and analyze patient encounters to assign the correct diagnosis and procedure codes, ensuring thoroughness and accuracy for all relevant clinical information.

• Assist member organizations in securing appropriate reimbursement by reviewing and proposing accurate code assignments essential for third-party payer claims.

• Conduct research and gather additional information from providers or clinical staff via Epic In-Basket messaging, as necessary and in line with established agreements.

⛳️ Requirements

• A minimum of 2 years' experience in Outpatient and Inpatient billing and/or coding revenue cycle is required.

• Proficient understanding of Medicare, Medicaid, MVA, Workers Comp, and private insurance billing and reimbursement processes; knowledge of legal requirements is preferred.

• Required certifications for Outpatient include: Medical coding from AAPC (CPC Certificate) or AHIMA (CCS Certificate) and current certification from ADCA (CDC certificate).

• Required certifications for Inpatient include: Certified Inpatient Coder (CIC) or AHIMA Inpatient certification.

🏝️ Benefits

• Competitive compensation package.

• Health insurance coverage.

• Opportunities for professional growth.

• Promotes a healthy work-life balance.