Outpatient Pro Fee Coder
Work hours are Monday – Friday 8am – 5pm. Remote position. 3+ years of experience in Healthcare Medical Coding. Knowledge of ICD-10 CM and ICD-10 needed. Must have office E/M leveling experience. Pro Fee Outpatient experience is required. AHIMA or AAPC certification required (must provide credential number or ID). Cerner experience is needed.
Location: Remote position with expected work hours from 8am to 5pm Mon-Fri.
Summary Description: The Outpatient Pro Fee Coder is responsible for timely, accurate and comprehensive abstraction of physician services from the medical/record by utilizing knowledge of industry standard ICD-10 CM and ICD-10 coding. This individual must demonstrate a commitment to the organization's strategic plans, short and long-term goals and mission, vision and values by representing the company in a caring and professional manner, recognizing the coding role in the patient experience.
Job Responsibilities:
• Utilizes technical coding expertise to review the medical record thoroughly, utilizing all available documentation to abstract and physicians professional services and diagnosis codes
• Follows Official Coding Guidelines and rules in order to assign appropriate ICD-10 CM and ICD-10 codes and modifiers with a minimum of 98% accuracy
• Provides documentation feedback to client and or account manager
• Maintains coding reference information
• Reviews and communicates new or revised billing and coding guidelines and information with providers and their assigned specialty
• Resolves pre-accounts receivable edits. Identifies and reports repetitive documentation problems as well as system issues
• Makes appropriate changes to incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD 10 codes and modifiers
• May collaborate with Patient Accounting, and other operational areas to provide coding reimbursement assistance; helps identify and resolve incorrect claim issues and may assist with drafting letters in order to coordinate appeals
• May work with Revenue Cycle staff and Account inquiry unit staff as requested,
• Assists in obtaining documentation (notes, operative reports, etc.). Provides additional code and modifier information
• Meets established minimum coding productivity and quality standards for each encounter type based on type of service coded.
• May perform other duties as assigned
Skills and Education:
• High School diploma or equivalent
• Required AHIMA or AAPC Certification
• 3+ years of experience in healthcare medical coding; Pro Fee Outpatient experience required
• Ability to work independently and within a team atmosphere
• Advanced and proficient knowledge of ICD-10 CM and ICD-10
• Self-motivated and passionate about our mission and values of quality work
• Must have professional level skills in MS products such as Excel, Word, Power Point.
• Must be able to type proficiently and with an effective pace
• Proficient application of business/office standard processes and technical applications
• Cerner system experience required
Company Benefits and Perks: Joining comes with an array of benefits, flexible work hours when possible, and a genuine sense of belonging to a dynamic and growing organization.
• Access to a 401(k) Retirement Savings Plan.
• Comprehensive Medical, Dental, and Vision Coverage.
• Paid Time Off.
• Paid Holidays.
• Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services.