This role assists our customers in performing, auditing and validating medical coding while complying with accepted standards and legal requirements. Your work ensures that all professional services rendered are documented and properly coded for billing.
You will work under moderate supervision and direction as you continue to increase your proficiency and apply your skills to the completion of assigned tasks.
The role you play
Performing medical coding and abstracting of patient encounters, identifying diagnostic and procedural information, reportable elements, complications, and other procedures
Following coding conventions, assigns codes for reimbursements
Reviewing the medical record and identifying professional services in it to accurately optimize all professional services documented for billing
Comparing physician-chosen CPT and ICD-10 codes to the physician’s documentation to substantiate the level of coding
Reviewing and verifying that documentation supports diagnoses, procedures and treatment results. Auditing clinical documentation and coded data to validate that documentation supports services rendered for reimbursement and reporting purposes
Analyzing medical records, identifying documentation deficiencies, identifying discrepancies and potential quality of care issues and billing issues
Researching coding requirements and complying with regulatory requirements, utilizing guidelines
(May) Researching, analyzing, recommending, and facilitating plan of action to correct discrepancies and prevent future coding errors
Performing special projects or other duties as assigned
Maintaining and increasing your skills, developing proficiency in the role
Consulting with more senior team members on work approach and work product
What we’re looking for
We expect:
High school diploma, GED, or equivalent
Certification requirement: CPC, CIC, CCS or COC
Facility coding experience required
1+ years medical coding experience
Able to work successfully with moderate supervision and latitude for independent judgement
Basic knowledge of coding, abstracting and relevant regulations
Some experience with relevant software applications and systems, e.g. electronic medical record system
Proficiency with Microsoft Office Suite products
Demonstrated ability to audit and identify issues and resolve or escalate the issues as appropriate
Able to work with team members, customers, providers and medical facility staff tactfully and effectively
Organized with exceptional verbal and written communication skills
Strong attention to detail
Strong commitment to ethical behavior and complying with laws and regulations involved in the job
Comfortable and accountable working in a remote work environment in which video -conference calls and virtual shared workspaces and tools are common
Able to communicate tactfully and firmly with patients, providers, medical records staff and third-party insurers
Must have a private, secure workspace available at home and access to internet with speed sufficient to perform the job
We'd love to see:
MEDITECH experience preferred
University/college degree, or experience medical records, claims or billing areas is an asset
Previous medical office experience preferred
Success Criteria
People who are successful in this role...
Maintain high standards for the quality of their own and others’ work
Thrive under the pressure of time constraints
Approach their work with a service mentality
Autonomous and have excellent follow-through
Open to feedback and a mindset to grow skills
Salary Range
$49,000- $61,000
Now, a little about us …
At Tegria, we bring bold ideas and breakthroughs to improve care, technology, revenue, and operations in ways that move healthcare organizations from patient-centered to human-centered. We are helping healthcare put people first—both patients and those who dedicate their lives to delivering care.
And at the very core of this vital work is our incredibly talented people.
People with different backgrounds who welcome challenge and change. People who listen first, ask hard questions, and make decisions to cultivate a culture of equity and inclusion. People who chase after goals, growth, and generosity. We’re real. We’re nimble, and we believe in our mission to humanize healthcare.
Perks and benefits
Top talent deserves top rewards. We’ve carefully curated a best-in-class benefits package, meant to meet you wherever you are in your life and career.
Your health, holistically. We offer a choice of multiple health and dental plans with nationally recognized networks, as well as vision benefits, a total wellness program, and an employee assistance program for you and your family.
Your financial well-being. We offer competitive wages, retirement savings plans, company-paid disability and life insurance, pre-tax savings opportunities (HSA and/or FSA), and more.
And everything in between. Our lifestyle benefits are unrivaled, including professional development offerings, opportunities for remote work, and our favorite: a generous paid-time-off program, giving you the flexibility to plan a vacation, take time away for illness (or life’s important events), and shift your schedule to accommodate those unexpected curve balls thrown your way.
Tegria is an equal employment opportunity employer and provides equal employment opportunities (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. All qualified candidates are encouraged to apply.
Tegria is a global healthcare consulting and services company delivering end-to-end solutions that help provider and payer organizations transform healthcare. To learn more, visit www.tegria.com.
We take a holistic approach, as we know that true transformation can’t occur in a silo. We partner with our clients to achieve meaningful, sustainable change through complete alignment of the people and processes involved, and the technology that is used.
We specialize in transforming problems into opportunities. Our fresh insights and advanced solutions maximize technology, transform operations, improve financials, and optimize care. No matter the obstacle, Tegria is here with the tools, experience, and expertise to get you over it, around it, or through it.