What are the responsibilities and job description for the Certified Professional Coder position at Renalus Center for Kidney Care?
Renalus Center for Kidney Care is seeking a full-time, detail-oriented, and experienced Certified Professional Coder to join our team. This role is critical in supporting our physicians and clinical staff to ensure accurate documentation and coding, contributing to the highest quality of patient care.
Position Responsibilities:
- Analyze medical record documentation to ensure accurate assignment of ICD-10-CM, CPT, and HCPCS codes, adhering to established coding guidelines and ethical standards.
- Consult with clinical providers for coding and documentation clarification as needed.
- Conduct prospective and retrospective reviews of clinical documentation and coding.
- Provide individual and group feedback to clinical providers, medical staff, and other team members based on coding reviews and identified trends, in alignment with the compliance plan.
- Collaborate with clinical operations and compliance staff to develop and implement corrective action plans for provider documentation issues.
- Develop and revise education and training materials related to documentation and coding.
- Respond to coding questions from providers and staff promptly and accurately.
- Monitor and track coding and coding compliance activities, maintaining detailed records.
- Collaborate with the clinical operations team to address special requests for coding reviews related to patient complaints, denials, rejections, or incorrect coding, and provide feedback to the relevant parties.
- Conduct ongoing reviews and tracking of insurance rejections and denials with coding discrepancies, contacting insurance companies as necessary to resolve issues.
Required Skills & Qualifications:
- Proficiency in medical coding, including ICD-10-CM, CPT, and HCPCS coding systems.
- Strong analytical skills and attention to detail.
- Excellent communication and interpersonal skills for interacting with providers, staff, and insurance representatives.
- Ability to manage multiple tasks and prioritize effectively.
- Experience with electronic medical records (EMR) systems preferred.
- Familiarity with insurance guidelines and compliance standards.
Education & Experience:
- Certification as a Professional Coder (CPC) or equivalent is required.
- High school diploma or GED required; advanced education or relevant coursework preferred.
- Minimum of 1 year of experience in medical coding, including coding reviews and compliance activities, preferred.
Additional Requirements:
- Must pass a standard 9-panel drug screening and background check.
Job Type: Full-time
Pay: $20.00 - $24.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible schedule
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- Monday to Friday
Application Question(s):
- When are you available to begin working?
License/Certification:
- Certified Professional Coder License (Required)
Ability to Commute:
- Pensacola, FL 32504 (Preferred)
Work Location: In person
Salary : $20 - $24