PROFESSIONAL SERVICES CODER - REMOTE

JOB DESCRIPTION-

Professional Services Coder

PRO FEE CODER
Full-Time REMOTE

Professional Services Coder candidates will have the following job responsibilities:

• Incumbents must be proficient with CPT and ICD-10-CM coding systems and responsible for assigning ICD-10-CM diagnoses codes and CPT procedure codes accurately and completely to ensure optimal reimbursement and coding quality. Coders in this position are held accountable for adhering to coding guidelines; accounts must be coded within the quality and productivity standards specified by department leadership.
• Incumbent is responsible for abstracting, analyzing, and assigning ICD-10-CM, CPT, HCPCS codes and appropriate modifiers for evaluation and management (E/M), minor procedures, and diagnostic tests by using either computerized or manual systems. Researches and resolves coding and reimbursement issues to ensure the accuracy, quality, and integrity of coding practices. Other responsibilities include:
• Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for professional service encounters to determine the highest level of specificity ICD-10 codes, CPT codes, HCPCS codes, and modifiers.
• Reviews physician assigned diagnosis code after thorough review of the medical record and, if necessary, queries physician for additional clarity in a professional manner.
• Able to accurately abstract information from the medial records into the abstract system, according to established guidelines.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC) adheres to official coding guidelines.
• Enters and validates codes, charges and other edits flagged in EPIC for review.
• Review documentation (and returned accounts) to verify and correct place of service, billing and service providers, or other missing data elements (ie: NDC #, or number of units)
• Uses CCI edit software to check bundling issues, modifier appropriateness, and LCD's/NCD's for medical necessity.
• Communication with other departments to recommend coding guidance for charge corrections, appeals processes, and patient billing concerns.
• Meet and/or exceeds the established coding productivity standards.
• Effectively communicates with clinicians and billing/coding teams regarding code changes and denials.
• Code/Audit encounters within the Professional Services Coding Epic queues.
• Complete accountable work related to daily unbilled charges to ensure timely billing in conjunction with billing and compliance guidelines.
• Address appeals and review documentation needed for insurance denials to facilitate expedient resolution and reimbursement.

JOB QUALIFICATIONS-

Professional Services Coder

PRO FEE CODER
Full-Time REMOTE

Professional Services Coder candidates must meet the following minimum job qualifications:

Required Certifications:

• CCS, CCS-P, CPC, COC and/or CIC Coding credential required. (Excludes apprenticeship classification)

Experience Required:

• Specialist: A minimum of 2-5 years previous pro-fee coding experience required. Experience in medical billing, and Professional Billing EMR workflows is preferred.
• Senior specialist: A minimum of 5-8 years of previous pro-fee coding experience is required. Experience in medical billing, and Professional Billing EMR workflows is preferred.
• For pro-fee coders, we are looking for coders with specific coding skills in cardiology, surgery, women's health, behavioral health, hospitalist, GI, and Peds, pathology, transplant, trauma

Shift: M-F 8a-5p PST; weekends and Overtime are options
Weekly Guaranteed Hours: 40
Weekend Hours:, OT and weekends are usually optional but can be mandatory depending on business needs.( All Positions are Hourly)

Cannot hire in following states: CA, NY, CO, NJ, IL, AK, HI and Seattle, WA

Professional Services Coder: 52k-70k DOE

Sr. Professional services coder: 56k-77k DOE