Pro Fee Coding Specialist

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

📋 Description

• Examine medical record documentation and make necessary additions or corrections to diagnosis and procedure codes provided by healthcare providers.

• Assign codes to records in accordance with the latest coding and billing standards.

• Monitor performance in coding and billing, addressing denials that arise from coding mistakes.

• Review corrections to charges and manage rebilling processes to resolve coding-related denials.

• Analyze data related to claims denials and create strategies to prevent future occurrences.

• Generate regular reports for clinical staff that highlight necessary corrective actions.

• Guide and educate providers on documentation standards, billing policies, procedures, and regulations.

• Seek clarification for any conflicting, vague, or unclear documentation.

• Provide education to providers and office staff regarding changes in documentation, coding, billing practices, and regulations.

• Collaborate effectively with providers, office personnel, billing teams, quality assurance, compliance, and coding resources.

• Stay abreast of coding regulations by attending seminars and reviewing relevant coding literature.

• Interact directly with patients, customers, healthcare professionals, and staff members.

⛳️ Requirements

• Prior experience is highly preferred.

• Minimum educational requirement: GED or High School diploma.

• Must possess one of the following certifications: CCS, CPC, BCHH-C, RHIA, RHIT, or HCCS; candidates lacking the necessary certification must obtain one within a year of employment.

• Preferred knowledge and/or training in the anatomy and physiology of the human body and its disease processes.

• A minimum of 2 years of related experience is preferred.

• Strong understanding of medical records and the specificity of coding.

• Basic encoder skills are required.

• Familiarity with Microsoft 365 and relevant software applications.

• Ability to assess whether records are sufficiently complete for coding purposes.

• Capable of working both independently and collaboratively in a fast-paced environment.

• Ability to handle multiple priorities and meet competing deadlines.

🏝️ Benefits

• Competitive salary and comprehensive benefits package.

• Opportunities for professional development and continuing education.

• Supportive work environment with a focus on teamwork and collaboration.