Advises departmental revenue owners and staff on proper usage of charge codes with medical record analysis. * Reviews and applies appropriate billing guidelines, state and federal regulations, and ...
Advises departmental revenue owners and staff on proper usage of charge codes with medical record analysis. * Reviews and applies appropriate billing guidelines, state and federal regulations, and ...
Advises departmental revenue owners and staff on proper usage of charge codes with medical record analysis. * Reviews and applies appropriate billing guidelines, state and federal regulations, and ...
Advises departmental revenue owners and staff on proper usage of charge codes with medical record analysis. * Reviews and applies appropriate billing guidelines, state and federal regulations, and ...
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... of correct coding guidelines, preparation of accounts for appeal, review/analysis of insurance ... Work Shift Day (United States of America) Location Patewood Outpt Ctr/Med Offices Facility 7001 ...
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The work model for the role is : #LI-Remote in the US with 60% travel required. This role is ... Choice between two medical plan options: A PPO plan called the Copay Plan OR a High-Deductible ...
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Remote Medical Coding information
See Pickens, SC salary details
$15.34 - $15.86
7% of jobs
$16.36 is the 25th percentile. Wages below this are outliers.
$15.86 - $16.38
19% of jobs
$16.38 - $16.91
5% of jobs
$16.91 - $17.43
3% of jobs
$17.43 - $17.95
14% of jobs
The median wage is $18.08 / hr.
$17.95 - $18.47
6% of jobs
$18.47 - $19
0% of jobs
$19 - $19.52
0% of jobs
$19.52 - $20.04
0% of jobs
$20.46 is the 75th percentile. Wages above this are outliers.
$20.04 - $20.57
26% of jobs
$20.57 - $21.09
20% of jobs
$15
$19
$21
How much do remote medical coding jobs pay per hour?
What are some common challenges faced by remote medical coders, and how can they be addressed?
What is remote medical coding?
Can I get a remote medical coding job?
What are the key skills and qualifications needed to thrive as a Remote Medical Coder, and why are they important?
Are medical coders being phased out?
Is remote medical coding worth it?
How much do remote coding jobs pay?
What is the difference between Remote Medical Coding vs Remote Medical Billing?
| Aspect | Remote Medical Coding | Remote Medical Billing |
|---|---|---|
| Certifications | Certified Professional Coder (CPC), Certified Coding Specialist (CCS) | Certified Professional Biller (CPB), Certified Coding Associate (CCA) |
| Work Environment | Home-based, healthcare facilities, coding companies | Home-based, healthcare providers, billing companies |
| Industry Usage | Hospitals, clinics, insurance companies | Hospitals, clinics, insurance companies |
| Job Focus | Assigning codes to medical procedures and diagnoses | Submitting claims, following up on payments |
Remote Medical Coding involves translating medical diagnoses and procedures into standardized codes used for billing and record-keeping. Remote Medical Billing focuses on submitting insurance claims and managing payment processes. While both roles work closely within healthcare revenue cycle management, coding emphasizes accurate documentation, whereas billing centers on claims submission and payment collection.
Full-time
Posted 14 days ago
Prisma Health rating
7.0
Based on 336 frontline employees who took The Breakroom Quiz
404th of 872 rated healthcare providers
Job description
Job Summary
Advises departmental revenue owners and staff on proper usage of charge codes. Monitors daily charge capture, revenue reconciliation, late charge trending, revenue trending, and work queues. Identifies operational trends. Reviews and applies appropriate billing guidelines and identifies opportunities for capturing additional revenue.
Essential Functions
- All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.
- Advises departmental revenue owners and staff on proper usage of charge codes with medical record analysis.
- Reviews and applies appropriate billing guidelines, state and federal regulations, and third-party billing rules/coverage. Identifies opportunities for capturing additional revenue in accordance with these guidelines.
- Monitors daily charge capture, revenue reconciliation, late charge trending, revenue trending, and work queues for assigned departmental revenue owners for compliant charge capture detail and documentation integrity. Identifies operational trends and benchmarks.
- Monitors and works with Revenue Cycle and IT staff to resolve accounts that are not routing through the HB Revenue Cycle process.
- Validates assigned principal diagnosis, all secondary diagnoses, principal procedures and all secondary procedures and CPT/HCPCs codes.
- Develops data requirements and works with analytics groups to complete internal charge review audits for assigned clinical departments to ensure that charges are generated in accordance with established policies and timeframes.
- Assists supervisor in addressing questions from staff regarding coding and billing issues. Reviews escalated accounts and issues.
- Participates in system conversions, implementations, and upgrades. Provides coding and reimbursement revenue of all proposed build. Completes assigned tasks in a timely manner. Engages in Epic Implementation "go-live charging hub" and participates in Revenue Management Task Force. Works with CDM, clinical departments, and I/S to ensure Epic and the system build are in place for charge entry and charge capture of provided services.
- Identifies and troubleshoots charge issues and opportunities for enhancement. Supports the RI team by optimizing processes to ensure services rendered are accurately reported and reimbursed while maintaining compliance.
- Reviews departmental charge capture processes for compliance and updates documented procedures as appropriate.
- Coordinates with Department leadership, CDM team and related stakeholders on new procedures being performed to assure charges are set up appropriately and timely education is provided to those affected.
- Partner with vendors on optimization projects to complete data review, auditing, and testing.
- Performs other duties as assigned.
Supervisory/Management Responsibilities
- This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
- Education - High School diploma or equivalent or post-high school diploma / highest degree earned.
- Experience - Five (5) years of healthcare revenue cycle experience
In Lieu Of
- In lieu of the education and experience requirements noted above, the following combination of education, training and/or experience may be considered an equivalent substitution: Associate degree and four (4) years of healthcare revenue cycle experience including two (2) years of charge description master/revenue integrity experience
- In lieu of the education and experience requirements noted above, the following combination of education, training and/or experience may be considered an equivalent substitution: Bachelor's Degree and two (2) years charge description master/revenue integrity experience.
Required Certifications, Registrations, Licenses
- Certification in one of the following: LPN, RHIT, RHIA, CCS, CPC, or CBCS.
Knowledge, Skills and Abilities
- Understanding of OPPS, IPPS, ICD10 Coding, HCPCS/CPT Coding, revenue cycle processes.
- Ability to interact with diverse groups at all levels of the organization by providing guidance and education
- Ability to understand and apply National and Local Coverage Determination to complete assigned work queues and educate facility departments routinely.
Work Shift
Day (United States of America)
Location
Patewood Outpt Ctr/Med Offices
Facility
7001 Corporate
Department
70019091 Revenue Integrity
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
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Benefits
Hours and flexibility
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About Prisma Health
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Greenville, SC, US
Year founded
2017