Remote Profee Coder
High-level professional coder needed for remote position in Health Information Management. Must have professional oncology experience and experience with urology, women's health, etc. Must be able to code all types of professional specialties, with oncology as a priority. Must take and pass the ProFee E/M assessment. Consistent schedule needed.
Job Summary:
Under general supervision, performs in-depth complex daily professional fee coding - CPT, Diagnosis, Procedure, Modifiers, Charges, HCPC, and ICD10 coding of outpatient clinic visits via Aria and Meditech Expanse software. Will focus on clinic visits for the following specialties: oncology, primary care - family medicine, internal, wound care, hospitalist, pulmonology, urgent care, nephrology, infectious disease, clinic minor surgical procedures, cardiology/CT, claim edits, and denials. Accurately abstract, CPT, HCPCS, Diagnosis, Charges, ICD10 and Modifiers as appropriate per clinical documentation. Queries and provides feedback to providers and other clinical department personnel. Performs other related functions as required. All work is carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic), ICD-10-CM/PCS, Centers for Medicare and Medicaid Services (CMS).
Essential Functions and Responsibilities:
- Must possess a thorough knowledge of ICD-10 CPT, HCPCS, Modifiers, procedure, diagnosis coding principles and applications as they apply to Professional Fee coding
- Thorough knowledge of Official Coding Guidelines and payer specific requirements
- Proficient with CCI Edits, Medical Necessity, and Modifiers.
- When services/diagnoses are not documented appropriately, seeks to attain proper documentation in a timely manner according to facility standards.
- Maintain 95% CPT and overall accuracy rate
- Works the review queue on a daily basis to ensure all charts that are placed in the review queue are worked and any corrections are communicated to the facility if necessary.
- The coder is responsible for coding or pending every chart placed in their queue.
Soft Skills Requirements:
- Strong verbal and written communication skills
- An independent worker, someone who can take the ball and run with it
- Someone who is people oriented, and can get along with all personality types
- Well rounded profee coder with a passion to get better
Preferred Requirements:
- Proficient with Aria and Meditech Expanse, 3M stand alone
- Proficient with Abstraction of E/M both 95 & 97 Guidelines
- Coding and knowledge of minor procedures
Other Requirements:
- Remote Workstation, including dual monitors
- Standard Windows PC
- Internet Access with DSL or Cable
- VPN compatibility
- Printer/Fax
Education and Skills:
- High school diploma or equivalent required.
- Requires one of the following coding credentials: AHIMA (CCS, CCS-P, or RHIT); AAPC (CPC, CPC, CPC-H).
- Must be proficient with Facilities Coding Standards.
- Minimum of five (5) recent years' experience in profee coding for all types of accounts.
- Working knowledge of ICD-10-CM/PCS.
Salary and Benefits:
- Salary Range: $50,000 to $60,000 per year
- Paid Time Off and Sick Time
- 401K
- Medical, Dental, Life and Long/Short term disability Insurance
- Paid Association Dues Paid
- Educational Benefits