Medical Records Coder II – Ophthalmology

This is a fully remote position, open to applicants in Alabama, +22 more states.

📋 Description

• Oversee and evaluate the performance of subordinate staff while aiding in their training and ongoing educational initiatives.

• Assign codes to medical records in accordance with ICD-10-CM and CPT-4 coding standards.

• Examine medical records to confirm the precision of diagnoses, procedures, and ensure optimal reimbursement for hospital and/or professional fees.

• Extract information from medical records in line with established methods and procedures.

• Analyze complex medical records that require research and reference verification, and accurately code the primary and secondary diagnoses and procedures using ICD-10-CM and/or CPT coding standards.

• Ensure the quality and volume of work through routine audits.

• Support the research, creation, and delivery of continuing education programs in specialized areas.

• Sequence diagnoses and procedures according to coding guidelines.

• Verify the accuracy of DRG/APC assignments.

• Gather and compile data from medical records to facilitate appropriate optimal reimbursement for hospital and/or professional services.

• Provide consultation and education to physicians regarding coding practices and standards to deliver comprehensive coding information.

• Collaborate with nursing and ancillary services personnel to obtain necessary documentation for accurate coding.

• Maintain a comprehensive understanding of anatomy and physiology, medical terminology, disease processes, and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM and CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures.

• Keep abreast of medical record practices, standards, regulations, and guidelines from the Joint Commission on Accreditation of Health Organizations (JCAHO), Health Care/Finance Administration (HCFA), Medical Review of North Carolina (MRNC), etc.

• Assist with special projects as necessary.

• Perform additional related tasks as required.

⛳️ Requirements

• High school diploma is mandatory.

• RHIA certification - no prior experience necessary.

• RHIT certification - no prior experience necessary.

• CCS certification - one year of coding experience is required.

• CPC or HCS-D certification - two years of coding experience is required.

• Advanced knowledge of ICD-10-CM & CPT-4 coding conventions.

• Proficiency in Anatomy and Physiology.

• Familiarity with Medical Terminology.

• Extensive knowledge of DRG/APC reimbursement.

• Familiarity with coding software.

• Strong written and verbal communication skills.

• Data entry/CRT Level Characteristics N/A.

🏝️ Benefits

• Currently offering a $10,000 sign-on bonus, distributed in four equal payments over 24 months—every six months.