Medical Coder

Essential Duties and Responsibilities:

• Complete accountable work related to pended charges in work queue review to ensure timely billing in conjunction with billing and compliance guidelines
• Front-end data entry or customer interaction. In the context of medical coding
• Handling the earlier phases of coding (like reviewing patient data and preparing it for further processing)
• Coding services related to patients admitted to hospitals or healthcare providers that are part of a specific insurance network.
• Select correct code assignment by proficient analysis and translation of diagnostic statements, physicians’ orders, and other pertinent documentation
• Responsible for keeping abreast of current ICD-10 and CPT coding guidelines and regulatory guidance; including responsibility for maintaining current coding certification status
• Participates in process improvement assignments and other duties as assigned in coordination with billing for documentation review as needed for rebill and appeals

Preferred Qualifications:

• 3+ years coding experience, billing for professional services, and related experience - OR • Current AAPC Certified Professional Coder (CPC) certification
• Proficiency with 2021 E/M Guidelines for level of service
• Technical knowledge and skills of electronic medical records
• Experience to handle Multiple Providers’ Claims 

Language Skills  

Must be able to communicate effectively in English.  Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.  Ability to write routine reports and correspondence.  Ability to speak effectively before groups of customers or employees of the organization.  

Physical Demands  

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions.  

Asset Requirements:

• Set up, configure, and maintain a reliable wired LAN connection for WFH setup
• Speed test minimum of 200mbps both download and upload