Outpatient Pro Fee Coder
Work hours are Monday – Friday 8am – 5pm. Remote position. 3+ years of experience in Healthcare Medical Coding. Knowledge of ICD-10 CM and ICD-10 needed. Must have office E/M leveling experience. Pro Fee Outpatient experience is required. AHIMA or AAPC certification required (must provide credential number or ID). Cerner experience is needed.
Location: Remote position with expected work hours from 8am to 5pm Mon-Fri.
Summary Description: The Outpatient Pro Fee Coder is responsible for timely, accurate and comprehensive abstraction of physician services from the medical/record by utilizing knowledge of industry standard ICD-10 CM and ICD-10 coding. This individual must demonstrate a commitment to the organization's strategic plans, short and long-term goals and mission, vision and values by representing the company in a caring and professional manner, recognizing the coding role in the patient experience.
Job Responsibilities:
- Utilizes technical coding expertise to review the medical record thoroughly, utilizing all available documentation to abstract and physicians professional services and diagnosis codes
- Follows Official Coding Guidelines and rules in order to assign appropriate ICD-10 CM and ICD-10 codes and modifiers with a minimum of 98% accuracy
- Provides documentation feedback to client and or account manager
- Maintains coding reference information
- Reviews and communicates new or revised billing and coding guidelines and information with providers and their assigned specialty
- Resolves pre-accounts receivable edits. Identifies and reports repetitive documentation problems as well as system issues
- Makes appropriate changes to incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD 10 codes and modifiers
- May collaborate with Patient Accounting, and other operational areas to provide coding reimbursement assistance; helps identify and resolve incorrect claim issues and may assist with drafting letters in order to coordinate appeals
- May work with Revenue Cycle staff and Account inquiry unit staff as requested,
- Assists in obtaining documentation (notes, operative reports, etc.). Provides additional code and modifier information
- Meets established minimum coding productivity and quality standards for each encounter type based on type of service coded.
- May perform other duties as assigned
Skills and Education:
- High School diploma or equivalent
- Required AHIMA or AAPC Certification
- 3+ years of experience in healthcare medical coding; Pro Fee Outpatient experience required
- Ability to work independently and within a team atmosphere
- Advanced and proficient knowledge of ICD-10 CM and ICD-10
- Self-motivated and passionate about our mission and values of quality work
- Must have professional level skills in MS products such as Excel, Word, Power Point.
- Must be able to type proficiently and with an effective pace
- Proficient application of business/office standard processes and technical applications
- Cerner system experience required
Company Benefits and Perks:
- Access to a 401(k) Retirement Savings Plan.
- Comprehensive Medical, Dental, and Vision Coverage.
- Paid Time Off.
- Paid Holidays.
- Additional benefits, including Pet Care Coverage, Employee Assistance Program (EAP), and discounted services.