Job Description

This is a full-time position. The first two weeks require in-office training, after which the role is remote, except for monthly office meeting s.

The hours will be Monday-Friday 8:30am-5pm with a 30 minute lunch.

• Review, analyze, and input clinic claim codes (ICD-9/ICD-10, HCPCS, CPT) based on EMR records, ensuring proper modifiers and documentation
• Educate and consult with physicians and nursing staff on coding practices, ensuring accurate and thorough clinical documentation
• Stay current with updates on medical treatments, procedures, diagnosis classifications, payer updates, and coverage changes, and communicate relevant information to providers, supervisors, and the billing team
• Use coding manuals and software to ensure proper code selection and compliance with industry standards, including HIPAA, AHIMA, and AAPC ethical guidelines
• Enter coded data into EHR or practice management systems for billing accuracy and maintain organized, accurate coding files
• Collaborate with the billing department to ensure accurate insurance claims submission, address discrepancies, and resolve coding errors or denials
• Resubmit denied claims after adjustments, assisting with audits and maintaining strong knowledge of medical terminology and disease processes
• Maintain NDC updates, NCCN guidelines, and work with A/R and billing teams to resolve claim rejections, troubleshoot billing issues, and ensure claims are processed correctly
• Assist with interdepartmental workflows (A/R, Coding, PA, Insurance Verification, Scheduling, Med Recs, Clinical) and generate reports for the Revenue Cycle team

• Certified Coding Specialist (CCS) or Certified Professional Coder (CPC)

• Associate’s degree in medical record technology or one-year coding diploma

• Minimum two (2) years of progressive and in-depth multispecialty professional services coding experience in the diagnostic and procedural coding assignment

• Extensive computer experience and ability to learn new computer applications quickly and independently, including EMR(s), Microsoft Office Suite, and other software programs

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