May 16, 2023

Certified Medical Coder

  • NMA
  • Remote
Full Time (CPC) Certified Professional Coder

Job Description

NMA is a unique, niche medical industry. We provide professional services associated with intraoperative neuromonitoring. We value our employees and recognize and reward hard work. We offer our employees a full benefits package that includes: Medical, Dental, Vision, Life, 401k with matching, and more. 

Job Responsibilities 

We are currently looking for a full-time Certified Medical Coder to work out of our McKinney, Tx office. Duties and responsibilities include, but are not limited to the following: 

  • Serve as an expert in all matters related to coding and billing. 

  • Verify accuracy of billing data and audit claims.

  • Review chart elements including face sheet, operative reports, History and Physical (H&P), Professional and Technical Reports and Superbills 

  • Consult with Technologists, Surgeons, and Physician Reader’s as needed to obtain information required for Coding. 

  • Create CMS 1500 claim forms for submission to third-party payers. 

  • Review and report missing or incomplete documentation. 

  • Identify and communicate trends to Senior Staff 

  • Serve as a resource regarding claim edits, Local Coverage Determination’s, specific insurance requirements and the nuances related to intraoperative neurophysiological monitoring.

  • Follow CPT / ICD 10 coding guidelines and legal requirements to ensure compliance with HIPAA, federal and state regulations. 

  • Review patient chart and extract CPT and ICD 10 information from the clinical documentation provided. 

  • Process encounters in a timely manner. 

  • Continuously monitor and ensure claims have been submitted for all billable services. 

  • Maintain up-to-date knowledge of coding and regulatory requirements to accurately assign codes for appropriate reimbursement of healthcare services. 

  • Meet continuing education requirements for certification and keep abreast of ongoing changes to CPT, HCPCS, and ICD 10 codes. 

  • Identify and communicate trends and educational opportunities to ensure proper documentation, coding, and accuracy of billing. 

  • Identify charge related edits that can be built in the practice management system to reduce denials. 

  • Respond to inquiries from providers, staff, insurance payers, and management in a timely and accurate professional manner. 

Necessary Skills, Attributes, & Knowledge requirements: 

  • Strong communication skills, oral and written, over the phone and in person are essential, friendly helpful attitude. 

  • Responsible and dependable. 

  • Organized and completes tasks. 

  • Strong work ethic and flexibility required. 

  • Analytical skills experience and sound judgment to make decisions. 

  • Self-motivated problem-solver with professional demeanor. 

  • Must be able to seek assistance from Manager if delays arise or are repetitive. 

  • The ability to achieve cooperation and collaboration among team members. 

  • Demonstrate objectivity, professionalism, integrity and honesty in dealing with people at all levels and facilitate an open and honest environment. 

  • Ability to use whatever tools and equipment is available to get the job done. 

  • Knowledgeable in multiple Microsoft OS’s, VOIP and MS Office Suite (Outlook, Excel, Word, PowerPoint). 

  • The ability to work with little or no supervision. 

IONM or OON experience preferred, but not required. 

MINIMUM of 2 of years' experience as a Certified Professional Coder (CPC) or Certified Professional Biller (CPB) through AAPC or equivalent 

Work schedule: Onsite, Monday – Friday with flexible hours and the option to work a Hybrid schedule after one year of employment. 

Required Experience Level

Intermediate Level