Full Time Remote Risk Adjustment Coder Jobs in Lubbock, TX

Specific Responsibilities of the Job: 

• Responsible for full end to end process of Family Medicine providers assigned. 

  • Claim Coding and Submission
  • Rejected Claims
  • Denied Claims

• Work closely with providers and staff to ensure timely billing processes. 
• Work within the EMR system to ensure charge capture and sequencing. 
• Reviewing and interpreting documentation. 
• Billing and Coding according to payer and facility guidelines. 
• Following up on needed coding edits. 
• Working denied claims to ensure appeal deadline is not exceeded.
• Working with billing team to ensure proper billing and coding processes. 
• Ability to handle workload or daily productivity.  
• Responsible for providing coding support to the Billing Team. 
• Performs all other related duties as assigned. 

Skill Set: 

• Two to Five years of experience in family practice facility (preferred)
• Current certification CPC, AHIMA etc. (preferred) 
• Knowledge of CPT, HCPCS, and ICD-10-CM 
• Knowledge of E/M coding guidelines including outpatient, CCM, Annual Wellness etc. 
• Knowledge in LCD, NCD and NCCI edits 
• Extensive knowledge with different payer guidelines e.g., Medicare, HMO, PPO, Medicare Advantage Plans etc. 
• EMR experience (eClinical preferred) 
• Knowledge of medical practice revenue processes. 
• Denial management and coding edit processes. 
• Ability to analyze documentation and assign appropriate codes. 
• Ability to work independently with a high degree of attention to detail and reliable decision making. 
• Strong analytical skills. 
• High school diploma or GED 

Work setting: 

• Office / On Site Lubbock, TX or Remote

Experience: 

• Family Practice coding: 2 to 5 years (Preferred) 

License/Certification: 

• Medical Coding Certification (Preferred) 

Job Type: Full-time 

Schedule: 

• Monday to Friday

Pay: From $25 to $30 per hour 

Expected hours: 40 per week 

Benefits: 

• 401(k) 
• Dental insurance 
• Health insurance 
• Vision insurance 
• Life insurance 
• Paid time off