Certified Professional Coder - REMOTE- Full Time

RestorixHealthMetairie, LA
Remote

About The Position

Ability to successfully review medical record documentation for comprehensive, compliant and appropriate procedure and diagnosis code assignment, while meeting correct coding, and general billing and claims’ filing rules. The certified coder must maintain a professional relationship with hospital and clinical staff. The coder holding this position must be able to work as part of the integrated Revenue Integrity / Revenue Cycle team, including Revenue Cycle Directors, Revenue Integrity Auditors, fellow Coders, Coding Supervisor and Vice President of Revenue Integrity. This position may have primary coding responsibilities to either Provider (Professional Services, WPS) and / or out-patient facility coding.

Requirements

  • Certified professional coder, as credentialed by either AAPC or AHIMA
  • Proficient and highly knowledgeable of current coding and billing guidelines
  • ICD-10 CM
  • CPT
  • HCPCS
  • Appropriate use of modifiers
  • Proficient in Excel, Word and Outlook email software
  • Familiarity and / or experience with electronic medical records
  • Must have and maintain a valid driver’s license
  • General knowledge and understanding of basic HIPAA guidelines
  • Minimum of 2 - 3 years’ experience in medical coding, preferably in wound care and / or HBOT.
  • Possess excellent organizational skills
  • Be detail oriented and comfortable multi-tasking
  • Clear, concise and effective verbal and electronic communication skills
  • Possess strong interpersonal skills
  • Ability to work in a results-driven position
  • Work with coding team and leadership in a collaborative manner.
  • Be a leader in your field of expertise.

Nice To Haves

  • preferably in wound care and / or HBOT

Responsibilities

  • Review and interpret medical record documentation to properly assign CPT (Current Procedural Terminology), HCPCS (Healthcare Common Procedure Coding System) and ICD-10 CM (International Classification of Diseases, 10th Clinical Modifications) codes according to current coding rules and instructions.
  • Verify that all necessary documentation is complete and suitable for coding purposes, both diagnosis and/or procedure.
  • Follow established query process for clinical teams and providers for any necessary clarification needed for proper code assignment, including any documentation that contains any unclear or unspecified notes.
  • Possess and utilize knowledge of code sequencing, for outpatient facility and/or professional services code edits and third-party reimbursement requirements as it relates to appropriately documented healthcare services.
  • Coordinate these responsibilities for multiple centers and/or providers.
  • Verify and/or confirm quality measures for MIPS reporting.
  • Performs other related duties as assigned.
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