Remote Risk Adjustment Coder Jobs in Seagoville, TX

*This is a remote position which requires residence in Arizona, Texas, Tennessee, New Hampshire or North Carolina.  

Company Overview

National Partners in Healthcare (NPH) is a progressive healthcare company specializing in anesthesiology. We partner with physicians and health systems to deliver high quality care, aligning synergies and best practices to achieve superior outcomes. As a leader in the industry, we believe in developing a foundation of trust, transparency, and excellence in everything we do. The success of our company has created excellent career advancement opportunities that support a healthy work/life balance.

Position Summary:

 The Certified Coder abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 and/or CPT-4 codes to patient records according to established procedures. Works with coding databases and confirms DRG assignments. Inputs and maintains data on procedures required for state or other reporting.

Essential Duties and Responsibilities:

• Codes Anesthesia charge tickets.
• Reviews CPT, ICD-10, ASA and HCPCS coding on charge tickets.
• Reviews anesthesia records for supporting documentation for charge tickets.
• Reviews medical records for supporting documentation for charge tickets.
• May require sending back to the providers for additional information.
• Review all incomplete or inaccurate charge tickets that are sent back from the billers for additional information and make necessary corrections. 
• Identify cosmetic and/or prepaid cases and ensure two tickets are created, one for insurance and one for patient responsibility.
• Deliver coded charts to assigned box for delivery to billing department.
• Assist Billing and AR Department as needed. 
• Communicates issues and questions to management when appropriate.
• Maintains strictest confidentiality.
• Adhere to all company policies and procedures.
• Adherence to and compliance with information systems security is everyone’s responsibility. It is the responsibility of every computer user to: Know and follow Information Systems security policies and procedures. Attend Information Systems security training, when offered.  Report information systems security problems.

• Perform other duties as assigned

Minimum Qualifications:

• High School graduate or equivalent. 
• CCS- P or CPC (Certified Professional Coder) certification from AAPC or AHIMA

Experience:

• Minimum of 2 years coding experience in a healthcare is preferred. 

Knowledge and Skills:

• Knowledge of CPT, ICD-10, ASA and HCPCS coding.
• Background in Medical Terminology required.
• Background in Anatomy and Physiology preferred, but not required.
• Knowledge of organization policies, procedures and systems. 
• Skill in computer applications including MS Word, MS Excel. 
• Skill in verbal and written communication. 
• Skill in gathering and reporting information. 
• Ability to work effectively with staff.
• Must have a pleasant disposition and be a team player.
• Ability to work independently with limited supervision.
• Must report to work consistently, on time, and for expected duration

At NPH, we believe in accountability, collaboration, and continuous improvement. We value team members who take ownership, communicate openly, and are always looking for better ways to serve our clients and each other.
Core Values
Driver for Results – Our goal is not only to meet expectations but to consistently exceed them. We anticipate and take action to exceed customer needs, and we define and evaluate quality standards.
Continuous Improvement- We seek opportunities to improve our services, streamline our work processes and make our customers more satisfied. We generate ideas that go beyond the status quo and recognize the need for new or modified approaches. We act as a catalyst for change.
Teamwork – We have a commitment to common goals based on open and honest communication while showing concern, support and respect for each other. We embrace everyone’s unique talents and honor diverse life and work styles. We operate in a spirit of cooperation and value human dignity. To be successful, NPH must be a rewarding place to work. We provide opportunity and encouragement to help our people reach their potential.
Customer Service – At NPH colleagues, patients, shareholders and providers are all important customers. We recognize that our customers are the reason for our success, and we are committed to listening to and responding positively to their needs and concerns.
Integrity – We strive to do what is right and do what we say we will do. We earn the trust of others through consistency of actions and transparency with stated values and commitments. We take responsibility for our actions and have a strong personal sense of what is right and wrong.

Please note that quoted salary ranges are not guarantees of what final salary offers may be. Base pay is based on market location and will vary depending on job-related knowledge, skills, and experience. Base pay is only one part of the Total Rewards that NPH provides to compensate and recognize our staff for their work. Full-time positions are eligible for a discretionary bonus and a comprehensive benefits package.

*This is a remote position which requires residence in Arizona, Texas, Tennessee, New Hampshire or North Carolina.