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Profee Medical Coding Specialist

Quadris Team LLC
Queen Creek, AZ Full Time
POSTED ON 2/9/2025
AVAILABLE BEFORE 5/8/2025

Job Description

Job Description

Quadris Team, LLC - A Revenue Cycle Management Group, is searching for that dynamic person to join us, working with our highly skilled Medical Coding Team to fill the role of Profee Coding Specialist. We are a 100% remote team supporting our clients across the United States! See us at www.quadristeam.com

Job Summary : The Coding Specialist 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 and ICD-10 PCS coding, with FQHC experience. 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.

Primary / Essential functions :

  • Utilizes technical coding expertise to review the medical record thoroughly, utilizing all available documentation to abstract and code facility and physicians professional services and diagnosis codes (inpatient admissions, surgical procedures, and / or diagnostic services), multi-specialty
  • Follows Official Coding Guidelines and rules in order to assign appropriate ICD-10 CM and ICD-10 PCS 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 such as 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

What Success Looks Like with Quadris!

  • Maintains compliance with regulations and laws applicable to job
  • Professional level communication expectations with video, phone and email
  • Ability to effectively prioritize the work to meet deadlines and expectations
  • Meets the quality and productivity measures as outlined by Quadris
  • Brings positive energy to the work
  • Uses critical thinking skills
  • Being present at work and reducing distractions
  • Being a self-starter
  • Core Talent Essentials (Education & Experience);

  • High School diploma or equivalent
  • Required AHIMA or AAPC Certification
  • 3 years of experience in healthcare medical coding; Pro Fee experience required
  • Ability to work independently and within a team atmosphere
  • Advanced and proficient knowledge of ICD-10 CM and ICD-10 PCS
  • 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
  • Physical Requirements :

  • Prolonged periods of sitting at a desk and working on a computer
  • Must be able to lift 15 pounds at one time
  • Must be able to structure your home office to ensure patient information is secure meeting the regulatory expectations
  • Quadris is an Equal Employment Opportunity employer. Any offer of employment is contingent upon a criminal background check, previous employment verification and references, following all federal and state regulations. Quadris Team is a participant of eVerify.

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