
Profee & Facility Coder – Emergency Medicine
Posted 4 days ago

Posted 4 days ago
This is a fully remote position, open to applicants in California.
• Assign the appropriate CPT and ICD-10 codes to each patient's medical records.
• Examine medical record documentation to ascertain suitable code assignments.
• Offer feedback to physicians regarding opportunities for improving documentation.
• Evaluate CPT E&M, procedure, and ICD-10 diagnosis codes for billing purposes.
• Execute coding tasks for assigned charts daily and disseminate coded charts through the workflow.
• Collect data on documentation deficiencies and complete physician query forms.
• Identify accounts that are non-billable or missing.
• Code a minimum of 135–150 charts per day with an accuracy rate of 96% or higher.
• Ensure work is delivered within one business day of availability.
• Communicate any workflow variations and escalate issues that impact daily coding or month-end closing activities.
• Complete timecards and production records on a daily basis.
• Engage in quality assurance, peer review, departmental meetings, and company meetings.
• Stay updated on CMS regulations, ICD-10-CM guidelines, CPT standards, Brault policies, and compliance requirements.
• Assign appropriate modifiers and implement surgical package rules.
• Code additional medical services such as X-rays and EKGs.
• Ensure that coded data accurately represents patient treatment and complies with regulatory standards.
• Address incomplete, missing, unbillable, clerical-error, and late-chart issues.
• Provide support for other client datasets and carry out additional duties as requested.
• Completion of a recognized training program resulting in a CPC or CCS-P certification from an accredited institution (AAPC, AHIMA).
• A minimum of three years of experience in evaluation and management as well as CPT coding.
• Preferred background in ED, Urgent Care, ICU, and/or hospitalist coding.
• Extensive knowledge of disease entities, disease processes, medical terminology, anatomy, physiology, medication purposes and administration, and common medical procedures.
• Strong analytical skills with the ability to convert medical record documentation into specific codes.
• Capability to work in a fast-paced environment while maintaining focus and precision.
• Proficient in communicating the connection between coding and documentation to physicians.
• Ability to work independently with minimal supervision, under pressure, and to meet deadlines.
• Proficient keyboarding skills and experience with MS Office applications.
• Excellent understanding of ethical coding, reimbursement, and documentation compliance.
• Familiarity with Electronic Health Record systems (EHR), coding/billing platforms, and Microsoft Office applications.
• Participation in in-services and continuing education activities.
• Team activities focused on quality assurance and peer review.
• Fully remote work arrangement.
Horizon Connect @ Wall BCBSNJ
The Baldwin Group
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