Certified Coder (PRN)

Netsmart • North Little Rock, AR

7d • Remote

About The Position

Responsible for daily coding, auditing and diagnosis-related group (DRG) validation of assigned encounters to ensure accuracy and compliance with outpatient standards. This role involves conducting reviews and providing recommended corrections of billed services for medical records, ensuring accuracy and compliance with current coding guidelines and regulations. The coder will also perform DRG validation to ensure appropriate assignment based on clinical documentation and coding, and review/audit billed services, providing recommended corrections related to clinical documentation to maintain coding integrity. Additionally, the position assists in reviewing and responding to payer and governmental audits of billed services, and requires staying current with and applying new coding guidelines and codes, maintaining expertise in CPT, HCPCS, and ICD-10 coding systems. The role also involves meeting established daily accuracy and production standards and collaborating with healthcare team members to ensure continuity of services and clarity in clinical documentation.

Requirements

• High school diploma or GED
• One or more of the following credentials: Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA); or Certified Professional Coder (CPC) and Certified Outpatient Coder (COC) through the American Academy of Professional Coders (AAPC)
• At least 1 year inpatient medical coding with DRG validation work experience
• Strong analytical, interpersonal, and communication skills
• Ability to produce detailed, comprehensive documentation and reports
• Passing scores on job-related pre-employment assessments

Nice To Haves

• Experience in coding or medical billing quality control

Responsibilities

• Conduct reviews and provide recommended corrections of billed services for medical records, ensuring accuracy and compliance with current coding guidelines and regulations
• Conduct DRG validation to ensure appropriate assignment based on clinical documentation and coding
• Review and audit billed services, providing recommended corrections related to clinical documentation to maintain coding integrity
• Assist in reviewing and responding to payer and governmental audits of billed services
• Stay current with and apply new coding guidelines and codes, maintaining expertise in CPT, HCPCS, and ICD-10 coding systems
• Meet established daily accuracy and production standards as per department policy
• Collaborate with healthcare team members to ensure continuity of services and clarity in clinical documentation

Benefits

• Equal employment and advancement opportunities to all individuals
• Celebrates diversity and is committed to creating an inclusive environment for all associates
• All employment decisions based on performance, qualifications, abilities, education and experience
• Does not discriminate in employment opportunities or practices based on race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, national origin, age, physical or mental disability, past or present military service, or any other status protected by the laws or regulations in the locations where we operate
• Maintains a drug-free workplace in accordance with applicable federal law
• Post-offer candidates are required to successfully complete a pre-employment background check, including a drug screen, which is provided at Netsmart’s sole expense
• Does not provide work visa sponsorship for this position

What This Job Offers

• Career Level: Mid Level
• Education Level: High school or GED