Medical Coder
2 days ago
Medical Coder
Purpose: Medical Coder translates important medical information into simple codes for the purpose of documenting medical records and for medical billing.
Job Description: We are looking for a competent medical coder to assist us with coding medical documentation for insurance claims and for our databases. The medical coder will assign required Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM). You will assign Diagnosis-related group (DRG) codes.
To ensure success you need to make judicious decisions on which codes to assign in each instance, and function to a high level of accuracy. Top applicants are motivated, detail-oriented, and have outstanding people skills.
Responsibilities:
The Specialist will be responsible for the following:
- Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations
- Complying with medical coding guidelines and policies
- Receiving and reviewing patients' charts and documents for verification and accuracy
- Assigning CPT, HCPCS, ICD-10-CM, and DRG codes
- Following up and clarifying any information that is not clear to other staff members
- Performing chart audits
- Collecting information made by the Physician from different sources to prepare monthly reports
- Implementing strategic procedures and choosing strategies and evaluation methods that provide correct results
- Experienced in Reproductive Medicine and state of Nebraska.
- Advising and training physicians and staff on medical coding
- Examining any medical malpractice that has been reported by analyzing and identifying the medical procedures, diagnoses or events that lead to the negligence.
Qualifications:
The Specialist should have some if not all of the following qualifications:
- High School diploma, GED, or suitable equivalent
- Experience with Tebra and AMD software preferred.
- Experience with Oncology, Family Practice, and Outpatient coding.
- CPC or equivalent certification (AAPC/AHIMA)(CPC-A accepted)
- Prior coding experience preferred
- Knowledge of Medicaid/Medicare guidelines preferred
- Working knowledge of managed care, commercial insurance, Medicare/Medicaid
- Understanding and adherence to HIPAA and PHI guidelines
- Comprehensive knowledge of insurance plans, member eligibility, and medical billing
- Understanding of CPT, ICD-10, UB, HCFA and 837 terminologies
- Detail oriented, strong problem solving, analyzing information and research skills
- Excellent math, verbal and communication skills
- Computer proficiency; experience with financial software
- Documentation and data entry skills
- Ability to meet productivity goals based on portfolio
- Experience level will be confirmed at the time of application upon factors set forth by the company
- Work schedule Pacific time.
Job Type: Full-time
Pay: Php40, Php50,000.00 per month
Benefits:
- Flexible schedule
- Paid training
- Work from home
Work Location: Remote
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