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Title: Certified Professional Coder (Outpatient/Same Day Surgery)
Role: Certified Coder, Professional
Location: Remote. Must work in a location within the United States.
Travel: No travel required.
Classification: Hourly, Non-Exempt
Reports to: Coding Leadership
Salary Range: Commensurate with experience
About the role:
The Certified Coder (Professional) is responsible for reviewing and evaluating clinical information within medical records to ensure high quality and compliant coding. They re able to analyze information and make decisions independently. Our coders have an eye for detail and an aptitude for accuracy.
Responsibilities:
- Reviews and/or evaluates relevant clinical and demographic information from the medical record to identify accurate and appropriate code selection and claim information.
- Selects CPT/HCPCS codes (including modifiers) and ICD-10 codes to the highest specificity with correct sequencing to ensure accuracy and maximum reimbursement.
- Solicits additional information from providers regarding ambiguous or conflicting documentation in the medical record. Corrects coding discrepancies as needed.
- Investigates and resolves coding-related system edits, rejections from payers, and/or insurance denials when needed.
- Identifies and escalates system or process breakdowns to leadership; assists with resolution when requested.
- Serves as a resource for coding and revenue cycle leadership.
- Consistently achieves productivity and quality metrics.
- Complies with and holds with utmost regard all compliance requirements to protect patient privacy and confidentiality.
- Stays curious, kind and contributes positively to the revology culture. The health + harmony of the team is everybody s responsibility at revology.
The statements stated in this job description reflect the general duties as necessary to describe the basic function, essential job duties/responsibilities, job requirements, physical requirements and working conditions typically required, and should not be considered an all-inclusive listing of the job. Iniduals may perform other duties as assigned, including work in other functional areas to cover absences or relief, to equalize peak work periods or otherwise balance the workload.
Requirements:
- Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) license or similar from a nationally accredited medical coding organization required; Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) accepted.
- Must remain current on coding guidelines, rules and regulations, and new codes. Must complete mandatory continuing education.
- Must demonstrate effective written and verbal communication skills.
- Ability to work independently to accomplish goals in a dynamic environment.
- High school diploma or equivalent required; bachelor s degree or equivalent experience preferred.
Remote work requirements:
Internet capability must be a high-speed internet connection.
Physical requirements:
Must be able to perform physical activities, such as, but not limited to: moving or handling (lifting, pushing, pulling and reaching overhead) office equipment and supplies weighing 1 to 25 lbs. unassisted. Frequently required to sit for extended periods during the workday. Manual dexterity and visual acuity required. Must be able to communicate effectively on the telephone and in person.
Working conditions:
Work will generally be performed indoors in an office environment. Must maintain a professional appearance and manner.
Employment eligibility:
Candidates must be legally authorized to work in the United States without sponsorship.
About revology:
revology is a technology-enabled healthcare revenue cycle management (RCM) firm providing outsourced services to hospitals, health systems, and physician groups. Our tech smart-from-the-start strategy enables us to break through conventional barriers and empower each revologist to drive a higher standard of revenue cycle performance. This is possible because we spend our lives in the sweet spot where smart tech and good humans reach their highest potential and maximize outcomes.
At revology, we are committed to stewarding and empowering an inclusive environment within our company and our communities. While we believe in culture – we don t believe in culture fit . We encourage every single revologist to bring their unique perspective, lived experience and authentic selves to the table. revology is an equal opportunity employer and we encourage everyone to apply for our available positions – including women, people of color, iniduals with disabilities and those in the LGBTQIA+ community.