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Certified Professional Coder – Primary Care – Remote

Remote

Full Time

Experienced

We are seeking:

1-2 Years of Primary Care including

Internal Medicine, Family Practice, Pediatrics

**We are not considering CPC-A candidates for this role.

Department: Coding

Wage Category: Hourly, Non-Exempt

Reports to: Supervisor, Coding Services

Salary range: Commensurate with experience and geographical location

Location: REMOTE

Job Statement

Under the directions of the Coding Services Supervisor and Manager, this position will be responsible for CPT and ICD-10 coding and ensuring accuracy and maximum reimbursement.

Job Duties

An effective Certified Professional Coder will exemplify the MediRevv Mindset by helping the organization on a whole achieve balance between partners, people, and performance through:

• Reviews and analyzes patient records according to current compliance policies and providers documents are compliant.
• Assigns accurately and sequences appropriately ICD-10 and CPT codes and all applicable modifiers
• Contacts clients as appropriate when documentation in the medical record is inadequate, ambiguous or unclear for coding purposes.
• Monitors regulatory and payer changes as they apply to diagnostic and procedure coding
• Researches and resolves coding related system edits, payer rejections and insurance denials.
• Identify system edit, payer rejection and insurance denial trends for client policy and procedure improvement.
• Participates in developing, implementing, and reviewing:
  • Programs for coding compliance monitoring
  • Criteria for benchmark comparisons
  • Organization’s policies and procedures
  • Providers clinical documentation improvement
  • Reports and applications supporting HCC/Risk Adjustment program
• Maintains up to date knowledge of the current changes of coding practices by continuing education and reading resource material.
• Other innovative and progressive duties as assigned

Job Requirements – Knowledge, Skills and Abilities

A successful candidate must have proficient knowledge/capabilities in the following areas:

• Nationally recognized coding credential including, but not limited to CPC, COC, CCS, CCS-P, RHIA or RHIT through AHIMA/AAPC.
• High school diploma or equivalent required.
• 1-3+ years coding experience required, and outpatient physician and/or multi-specialty coding experience, preferred.
• Understanding of all or a combination of ICD-10, CPT, HCPCS, modifiers, medical terminology and HIPAA compliance.
• Possess strong written and verbal communication skills to communicate effectively with iniduals at all levels of the organization.
• Ability to work under general supervision
• Ability to work in a fast-paced department and handle multiple tasks, work with interruptions, and deal effectively with confidential information.
• Possess excellent telephone etiquette, presentation skills and problem resolution skills
• Computer skills including Microsoft Office Suite
• Must be highly organized and detail-oriented
• Understands fully the requirements to meet HIPPA regulations. Must treat all patient information and data with complete confidentiality and takes all precaution to secure this information.
• Cooperates fully in all risk management activities and investigations for QM purposes.