Professional Medical Coder I

This is a fully remote position, open to applicants in Alabama, +8 more states.

📋 Description

• Conduct remote reviews of medical records and assign or validate appropriate CPT and ICD-10 codes.

• Perform audits on documentation from providers and qualified healthcare professionals to ensure accurate coding assignments.

• Guarantee prompt review of charges and creation of claims.

• Act as a resource for physicians regarding coding concerns, documentation requirements, policies, and procedures.

• Address coding edits, related denials, and billing challenges through specialized work queues.

• Investigate payer policies and coding guidelines, then communicate resolution strategies to billing personnel.

• Execute coding-related charge adjustments and claim resubmissions when necessary.

• Provide training to providers and qualified healthcare professionals on documentation rules and regulations.

• Support the training and education of new staff as needed.

• Code both inpatient and outpatient encounters, including operative notes, procedures, consultations, and other designated notes.

• Keep up-to-date with continuing education and coding advancements.

• Collaborate with claims department staff and escalate issues to management as required.

• Uphold strict confidentiality of protected health information and adhere to HIPAA regulations.

• Carry out additional responsibilities as assigned.

⛳️ Requirements

• A High School Diploma is mandatory.

• A foundational Coding Certification is required: CPC, CPC-H, CCA, CCS, or CCS-P.

• Two further specialty credentials are necessary.

• A minimum of 1 year of experience in coding Evaluation and Management services is essential.

• Experience in surgical specialties is preferred.

• Familiarity with medical record content, medical terminology, anatomy and physiology, ICDCM/PCS, and CPT coding systems is needed.

• Understanding of medical coding and billing systems is required.

• Knowledge of legal, regulatory, and policy compliance related to medical coding, documentation, and billing is important.

• Capability to audit documentation and confirm accurate code assignments.

• Ability to clearly convey coding information to providers, healthcare professionals, clinical staff, and billing personnel.

• Awareness of payer policies and coding guidelines is expected.

• Proficiency in Microsoft Office is required.

• Ability to work both independently and collaboratively within a team setting.

• Strong attention to detail, decision-making, judgment, self-discipline, and time-management capabilities are essential.

• Ability to maintain confidentiality and comply with HIPAA Privacy & Security policies and procedures.

• Capacity to remain composed under pressure and respond appropriately to dissatisfied customers or stakeholders.

• Current required continuing education and coding updates are mandatory.

🏝️ Benefits

• Flexible remote work arrangement.

• Full-time employment status.

• Access to continuing education courses and coding updates.

• Annual performance reviews and support for goal setting.