Certified Medical Coder responsible for coding diagnoses and procedures for billing and reporting. Ensuring compliance with coding guidelines and acting as a resource for medical staff.
About the role
- Medical Coder reviewing multi-specialty inpatient and outpatient coding accuracy for ICD-10, CPT, and HCPCS. Collaborating with collections teams and electronic filing of replacement claims.
Responsibilities
- Review multi-specialty inpatient and outpatient and clinical Charge Correction requests for ICD-10, CPT and HCPCS coding for accuracy and make necessary corrections
- Review LCD and NCD criteria and insurance billing guidelines
- Report any changes as necessary to collections teams
- Electronically file replacement claims and some payment posting as needed
- M-F onsite training for approx. 3-6 months
- After training hybrid with 90% being remote/working from home
Requirements
- High School Diploma/GED (relevant experience may be substituted for formal education)
- 1+ years of medical coding experience
- AAPC CPC or AHIMA CCS coding certification
- Experience in ICD-10, CPT and HCPCS Level II Coding
- Ability to determine medical necessity of services provided and charged based on provider/clinical documentation
- Knowledge, understanding and proper application of Medicare, Medicaid, and third-party payer HCFA-1500 billing and reporting requirements
- Ability to determine accurate medical codes for diagnoses, procedures and services performed in the emergency department, inpatient and outpatient settings
- Knowledge of current code bundling rules and regulations along with ability on issues of compliance, and reimbursement under outpatient grouping systems
- Ability to use MS Excel
Benefits
- Medical, Rx, Dental & Vision Insurance
- Personal and Family Sick Time & Company Paid Holidays
- Position may be eligible for a discretionary variable incentive bonus
- Parental Leave
- 401(k) Retirement Plan
- Basic Life & Supplemental Life
- Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
- Short-Term & Long-Term Disability
- Tuition Reimbursement, Personal Development & Learning Opportunities
- Skills Development & Certifications
- Employee Referral Program
- Corporate Sponsored Events & Community Outreach
- Emergency Back-Up Childcare Program
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