Physician Medical Coder Job Listing
PLEASE READ JOB DESCRIPTION
Profee coder to review coding denials and correct/validate CPT, ICD-10, HCPCS and modifiers for physician services. Our coders will review medical records, research payer policy, and NCDs to make coding corrections and resubmit corrected claims in an accurate and timely manner. We work closely with other team members and management to translate clinical documentation consistently and accurately into ICD-10 and CPT codes with proper sequencing and modifiers. Through these efforts, the individual within this role will identify and report error patterns, resolve errors or issues associated with coding and billing processes, and when necessary, assist in the design and implementation of workflow changes to reduce billing errors.
Job Requirements
At least one active certification is required. Additional certifications a plus. Accepted certifications include:
COC (Certified Outpatient Coder) certifications through AAPC
CPC (Certified Physician Coder) certifications through AAPC
CCS (Certified Coding Specialist) certification through AHIMA
Minimum 2 years of coding experience in facility or physician group setting required
Minimum 2 years current experience in EPIC required
Experience correcting claims in EPIC strongly preferred
Experience in Codify coding software is a plus
Reliable Internet provider required
Strong written, verbal communications and computer skills required
Strong work ethic
Job Responsibilities
Review claim denials for coding errors and correct as needed per payer and coding guidelines
Review claims denials and clinical documentation to correct/assign diagnostic and procedural codes and modifiers for outpatient and inpatient services and resubmits the corrections
Ensures accurate, timely, and appropriate assignment of ICD-10, CPT/HCPCS, and modifiers for the purposes of billing, internal and external reporting, research, and compliance with regulatory and payer guidelines
Provides coding trends feedback to management
Must maintain specified productions standards
Strong computer skills a must! This is a remote position, ability in utilizing technology (computer, remote log in, MS Office, coding software) to perform responsibilities
Escalate coding and documentation issues to revenue cycle leadership
Knowledge in accessing and understanding local and national coverage determinations (LCDs/NCDs)
Strong verbal and written communication skills
Strong knowledge of medical terminology
Strong time management skills to balance coding responsibilities
Special projects as assigned
Professional references requested. A coding test will be provided and must be passed for consideration.