Job Description

The Medical Coding Specialist will abstract, analyze, and assign ICD-10-CM, CPT, HCPCS codes and appropriate modifiers for evaluation and management (E/M and diagnostic tests for professional services only. Coder must be Certified and have a minimum of 3 years’ experience.

This is a remote position based in the USA, candidates my possess the ability to work independently and with a team; have problem-solving skills; have the ability to work with a wide range of programs and individuals; and possess the ability to manage multiple projects at once.

The coder is responsible for adhering to deadlines, quality, accuracy, and productivity measures. This position is responsible, for compliance with federal regulations in accordance with HIPAA, CMS, International Classification of Diseases (ICD) classification system, Current Procedural Terminology (CPT) system and Evaluation and Management (E&M) guidelines.

Responsibilities

• Reviews, determines accuracy of and applies the correct coding conventions to patient charge encounters as defined through physician documentation, regulatory agencies and various third-party payers.
• Daily production coding of professional E/M and diagnostic services.
• Identifies and reports correct code selection from physician documentation, to include, but not be limited to; chart notes, abstracting from medical records documentation, medical diagnostic and/or interventional reports, ensuring compliant coding selections are reported
• May include data entry of codes
• Query physicians and other health care professionals with questions regarding coding and documentation standards.
• Adhere to all regulatory and federal compliance rules and regulations
• Expected to meet monthly productivity benchmarks and have an accuracy rate of 95% on audits
• Maintain professional development (CEUs) and knowledge of up-to-date coding and regulatory information.
  

Qualifications

Required:

• Minimum of 3 years Evaluation and Management (E&M) coding experience
• Nationally recognized medical coding credential such as: RHIT, RHIA, CCS, CCS-P, or AAPC certified as CPC
• Knowledge of Professional Coding, Reimbursement and Regulatory Systems

• Commitment to high level of customer service

Preferred:

• Additional recognized sub-specialty coding credential such as: AAPC certification of CCC, CPMA, CCVTC, CGSC, CRC, etc.
  

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