Medical Coder III (hybrid)

Endeavor Health•Skokie, IL

5d•$27 - $40•Hybrid

About The Position

Position: Pro Fee Coder, Surgical Location: Hybrid (Skokie, IL and remote) Full Time/Part Time: Full-time Hours: Monday-Friday, standard 8.5 hour workday, must be flexible to accommodate early am or pm physician meetings as needed. Travel: Flexible WFH arrangement, however this is not a fully remote position. Candidate must be able to occasionally travel between Endeavor locations. What you will do : Provide virtual and in-person coding and documentation education to physicians, advance practice providers, practice managers, and revenue cycle coders. Perform billing provider audits to identify missed revenue and/or compliance risk. Analyze progress notes, op reports, pathology reports, explanation of benefits, patient insurance information, and various other health information documents for coding and billing accuracy. Review government and commercial payer policies to identify coding and documentation requirements for professional billing to ensure timely and accurate reimbursement. Perform research and data analysis projects on various coding and billing matters. Identify improper coding and billing trends that result in coding denials, and assist in implementation of workflows and streamlined processes to minimize these denials. Assign appropriate ICD-10, CPT, and HCPCS codes to medical record documentation by applying physician specialty coding rules, third party payor guidelines, APC billing rules and Medicare Local Medical Review Policies. Develop educational materials/aids to assist billing providers and coders in identifying documentation requirements on various topics. Attend multi-specialty physician coding, billing, reimbursement seminars to maintain and increase coding, billing, reimbursement expertise/ knowledge.

Requirements

Bachelor's degree in Health Information Management, Healthcare Administration, Nursing, or related field required, or 10+ years of healthcare experience in the clinical or revenue cycle setting
physician coding and auditing, must be comfortable with public speaking and have good presentation skills
3-5 years of related experience in physician and hospital outpatient medical billing, reimbursement, physician audits, chart review, coding compliance, medical office or patient accounts.
Coding Credentials (CRC, CPC, CCS-P, etc.), required

Nice To Haves

1-2 years of experience working with Senior Physician Management a plus

Responsibilities

Provide virtual and in-person coding and documentation education to physicians, advance practice providers, practice managers, and revenue cycle coders.
Perform billing provider audits to identify missed revenue and/or compliance risk.
Analyze progress notes, op reports, pathology reports, explanation of benefits, patient insurance information, and various other health information documents for coding and billing accuracy.
Review government and commercial payer policies to identify coding and documentation requirements for professional billing to ensure timely and accurate reimbursement.
Perform research and data analysis projects on various coding and billing matters.
Identify improper coding and billing trends that result in coding denials, and assist in implementation of workflows and streamlined processes to minimize these denials.
Assign appropriate ICD-10, CPT, and HCPCS codes to medical record documentation by applying physician specialty coding rules, third party payor guidelines, APC billing rules and Medicare Local Medical Review Policies.
Develop educational materials/aids to assist billing providers and coders in identifying documentation requirements on various topics.
Attend multi-specialty physician coding, billing, reimbursement seminars to maintain and increase coding, billing, reimbursement expertise/ knowledge.