Job Description

Job Description

Responsibilities:

• Conduct reviews of EMR documentation of patient encounters to ensure coding accuracy and documentation adequacy.
• Work collaboratively with clinical providers to improve revenue cycle integrity while seeking and identifying trends and opportunities for coding optimization.
• Regularly conduct coding reviews of CPT, ICD-10, and modifier utilization.
• Provide feedback and focused educational programs on the results of auditing, review claim denials pertaining to coding, and implement corrective action plans.
• Coordinate, schedule, and perform reviews of professional services and documentation performed by providers.
• Evaluate clinical documentation to identify inconsistency or improvement opportunities that could impact reimbursement, revenue integrity, and/or reduce denials.
• Review charge information submitted by certified coders, claim forms, and insurance correspondence to determine if coding, billing, claim follow-up, payment receipts, posting activities, and credit processing is being performed in an accurate and timely manner and is supported by documentation.
• Prepare written reports of the audit findings to internal leadership, clinical leadership, and providers.

Qualifications:

• Bachelor's Degree or Associates Degree with 5 years of applicable experience required.
• Minimum of 3 years of Evaluation and Management and/or Surgical coding experience.
• Certified Professional Coder (CPC) or Certified Coding Specialist- Physician Based (CCS-P) required.
• In lieu of CPC or CCS-P certification will consider, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) certification in conjunction with applicable physician coding experience, including evaluation & management (E/M) and surgical coding experience.
• Knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing, with demonstrated ability to interpret such guidelines.
• Demonstrate advanced knowledge and skill in analyzing patient records to identify non-conformances in CPT, ICD10-CM and HCPCS code assignment by passing a department administered coding proficiency test.
• Prior experience in an academic institution preferred.
• Certified Interventional Radiology Cardiovascular Coder (CIRCC) a plus.
• Experience working in a Teaching Hospital setting is preferred.
• Proficient in Excel, Word, Data Entry, computerized health care billing software knowledge; experience in Epic Ambulatory a plus.

Here is more information:

Position: Medical Coder

Term: 6+ month contract with possible extension

Schedule: Remote, Monday-Friday 8am-5pm CST.

Pay: $45-50/hr

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