Certified Medical Coder

Physician and Outpatient Medical Coder Job Listing
 

Fully remote positions available. One Profee coder one Facility coder to review coding denials and correct/validate CPT, ICD-10, HCPCS and modifiers for inpatient and outpatient professional and facility services. Our coders will review medical records, research payer policy, and NCDs to make coding corrections and resubmit corrected claims in an accurate and timely manner. We work closely with other team members and management to translate clinical documentation consistently and accurately into ICD-10 and CPT codes with proper sequencing and modifiers. Through these efforts, the individual within this role will identify and report error patterns, resolve errors or issues associated with coding and billing processes, and when necessary, assist in the design and implementation of workflow changes to reduce billing errors.

Job Requirements

At least one active certification is required. Additional certifications a plus. Accepted certifications include:

• COC (Certified Outpatient Coder) certifications through AAPC
• CPC (Certified Physician Coder) certifications through AAPC
• CCS (Certified Coding Specialist) certification through AHIMA
   
• Minimum 2 years of coding experience in facility or physician group setting required
• Minimum 2 years current experience in EPIC required
• Experience correcting denied claims in EPIC strongly preferred
• Experience in Codify coding software is a plus
• Reliable Internet provider required
• Strong written, verbal communications and computer skills required
• Strong work ethic

Job Responsibilities
 

· Review claim denials for coding errors and correct as needed per payer and coding guidelines

· Review claims denials and clinical documentation to correct/assign diagnostic and procedural codes and modifiers for outpatient and inpatient services and resubmits the corrections

· Ensures accurate, timely, and appropriate assignment of ICD-10, CPT/HCPCS, and modifiers for the purposes of billing, internal and external reporting, research, and compliance with regulatory and payer guidelines

· Provides coding trends feedback to management

· Must maintain specified productions standards

• Strong computer skills are a must! This is a remote position, ability in utilizing technology (computer, remote log in, MS Office, coding software) to perform responsibilities
• Escalate coding and documentation issues to revenue cycle leadership
• Knowledge in accessing and understanding local and national coverage determinations (LCDs/NCDs)
• Strong verbal and written communication skills
• Strong knowledge of medical terminology
• Strong time management skills to balance coding responsibilities
• Special projects as assigned

Professional references requested. A coding test will be provided and must be passed for consideration.