Remote Claim Edit Coder

Location Address: Remote Office Santa Fe, NM 87501 Compensation Pay Range: Minimum Offer $21.70, Maximum Offer $33.14 Now Hiring: Remote Claim Edit Coder Summary Build your Career. Make a Difference. Presbyterian is hiring a skilled Remote Claim Edit Coder to join our team. Type of Opportunity: Full time. Job Exempt: No. Job is based: Remote. Workers New Mexico. Work Shift: Varied Days and Hours (United States of America). Responsibilities Has the knowledge and ability and will be required to code all of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers or demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures. Must demonstrate knowledge of coding multiple areas of service and/or specialties or extensive experience in a specific specialty deemed a critical business need by PHS Coding Leadership. Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS) to be used for financial reimbursement, research in accordance with Federal Regulations and Hospital and Departmental policies. Accesses several systems via the computer to research the medical record when needed to complete the coding in a timely manner. Takes responsibility for accounts receivable by looking for lost documents to insure all encounters are coded, including the generation of appropriate queries, as needed. Maintains and disseminates up-to-date technical knowledge of legal and regulatory information from all appropriate jurisdictions concerning the given business area. This includes but is not limited to all ICD-9/10 CM, CPT-4, HCPCS, and DRG, APC and/or HHRG updates and changes. Responsible for resolving any and all pre‑bill edits, denials, etc. for assigned accounts. Participates in all departmental in‑services and updates to stay current with the accepted coding guidelines and improve personal knowledge of medicine and treatment. Performs other functions as required. Qualifications High school diploma/GED required. Must have any one of the following coding certifications at time of hire: HCS‑D, CCS, CCS‑P, CPC‑H or CPC, or RHIT/RHIA with achievement of one of the coding credentials above within one year of hire. One‑to‑three years experience as a coder required. Must possess computer skills including, but not limited to, Word, Excel, PowerPoint. Experience with an encoder preferred. Experience with an Electronic Medical Record preferred. Must be able to use the internet and other electronic resources for the purpose of research. Benefits All benefits‑eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short‑term and long‑term disability, group term life insurance and other optional voluntary benefits. EEO Statement AA/EOE/VET/DISABLED. PHS is a drug‑free and tobacco‑free employer with smoke‑free campuses. #J-18808-Ljbffr