CIRCC Coder/Auditor (Remote)
- StreamlineMD
- Remote
- $36.00 - $40.00 hourly
Job Description
Job Title: CIRCC Coder/Auditor
(Must have an active CIRCC Certification)
Department: Operations
Reports To: Coding Manager
FLSA Status: Non-Exempt/ Full-Time
Salary: $36-40 per hour
Job Summary
StreamlineMD is seeking a highly skilled and detail-oriented CIRCC Coder to join our coding team. The CIRCC Coder is responsible for accurately coding and abstracting interventional radiology, cardiovascular procedures, and related services from medical records, ensuring compliance with established coding guidelines and regulations. This role is critical in supporting the revenue cycle by ensuring the correct coding and billing for complex procedures.
Essential Duties and Responsibilities
- Accurately code interventional radiology, cardiovascular procedures as assigned using CPT, ICD-10, and HCPCS coding systems in compliance with coding guidelines and payer requirements. This includes working knowledge of LCD, NCDs, NCCI manual and edits, MUE edits. Locations of service include OBL, ASC, facility and global billing.
- Thoroughly review medical records, operative reports, and other relevant documentation to ensure that all services are accurately documented and coded including drugs as appropriate. This position will assist with coding related denials from payers.
- Ensure compliance with all federal, state, and payer-specific regulations and guidelines related to coding and billing practices.
- Participate in internal and external audits to ensure coding accuracy and compliance, and implement corrective actions as needed. Provide written and oral education to clients.
- Collaborate with billing, reimbursement, and clinical staff to resolve coding-related issues and optimize the revenue cycle process.
- Provide ongoing education and training to clinical and coding staff.
- Keep up to date with changes in coding regulations, guidelines, and best practices by participating in continuing education and professional development opportunities.
Qualifications
- Certified Interventional Radiology Cardiovascular Coder (CIRCC) certification is required.
- Completion of associates for bachelor’s degree in health information management or equivalent years of experience in the field.
- A minimum of 3-5 years of coding experience in interventional radiology, cardiovascular procedures, vascular procedures and wound care.
- Strong understanding of anatomy, physiology, medical terminology, and coding systems (CPT, ICD-10, HCPCS).
- Proficient in the use of EHR systems, coding software, and Microsoft Office Suite. Running reports in company systems for data analysis.
- Excellent attention to detail and accuracy in coding and billing policies.
- Previous experience in coding audits and compliance reviews.
- Strong verbal and written communication skills with the ability to effectively collaborate with administrative and clinical staff.
- Ability to work independently, take initiative, and work collaboratively with others.
- Competence to identify, analyze, and resolve coding issues effectively and efficiently.
- Ability to meet deadlines while working in a fast-paced environment and exercise independent judgment.
Additional Certifications
Certified Professional Coder (CPC), Radiology Certified Coder (RCC), Radiology Certified Coder in Interventional Radiology (RCCIR) or other related coding certifications. Certified Coding Specialist (CCS) (AHIMA)
Required Experience Level
Minimum Education
Minimum Experience Required
Required Travel
Applicant Location
SUMMARY
The CIRCC Coder/Auditor will accurately review and evaluate patient medical records to ensure proper coding occurs. This position will also be responsible for reviewing codes related to denials from payers. This coder will be required to run reports from company used systems and analyze the data provided.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Assign codes for diagnoses, treatments and procedures according to the ICD-10-CM/PCS Official Guidelines for Coding and Reporting through review of coding critical documentation, to generate appropriate MS/APR DRG.
- Validates admit orders and discharge dispositions.
- Works from assigned coding queue, completing and re-assigning accounts correctly.
- Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).
- All other work duties as assigned by Manager
QUALIFICATIONS
- Completion of associate's or bachelor’s degree in Health Information Management or related field.
- Must have CIRCC Certification
- Strong written and verbal communication skills.
- Able to work independently in a remote setting, with little supervision.
- 3-5 years of Inpatient and/or Outpatient coding experience in an acute care setting.
- Expert knowledge of ICD and PCS coding systems and MS-DRGs.
- Expert knowledge and understanding of anatomy, physiology, medical terminology, and pathophysiology (disease process, surgical terminology and pharmacology) and can apply these sciences to accurately assign codes to complex cases.
- Expert knowledge of pharmacology indications for drug usage and related adverse reactions.
- Expert knowledge of coding workflow and optimization of technology including how to navigate in the electronic health information record and in health information management and billing systems.
- May need advanced knowledge of cardiac body structure and function as well as coronary and peripheral vascular anatomy.
- Ability to work with a high degree of accuracy and give attention to detail of the repetitive nature.
- Ability to work independently, takes initiative, and work collaboratively with others.
- Ability to meet deadlines while working in a fast-paced environment, and to exercise independent judgment.
LICENSES, REGISTRATIONS, OR CERTIFICATIONS
- Certified Coding Specialist (CCS) (AHIMA)
- Certified Professional Coder (CPC) (AAPC)
- Certified Interventional Radiology and Cardiovascular Coder (CIRCC) (AAPC)
Job Type: Full-time
Expected hours: 40 per week
Work setting: Remote