Medical Coder

TEKsystems•St. Louis, MO

16d•$28 - $28•Hybrid

About The Position

The ideal candidate for this role will have experience in Healthcare Accounts Receivable (AR) and collections, as well as proficiency in Epic. This individual will be responsible for performing advanced coding and appeals activities, investigating payer issues, ensuring the timely filing of appeals to insurance companies, and managing charge corrections. The successful candidate will demonstrate strong analytical skills, attention to detail, and the ability to resolve complex reimbursement issues effectively.

Requirements

Certification as a Certified Procedural Coder (CPC) required or RHIT/RHIA certification.
Must perform accurate and detailed work.
Must be able to keep goals and the Department in mind when making decisions and solving problems.
Must maintain a highly professional demeanor as a representative of the Department.
Excellent verbal and written communication skills and teamwork strategies are critical.
Organized in material, thought, and action regarding a wide variety of duties.
Maintain patient confidentiality regarding all financial and medical information.
Set personal goals as well as office goals; fully participate and complete tasks within the time specified.

Nice To Haves

Experience in Healthcare Accounts Receivable (AR) and collections.
Proficiency in Epic.

Responsibilities

Responsible for appealing claims denied by third-party payers.
Creates appropriate letters and compiles documentation to substantiate the validity of claims.
Investigates and problem solves reimbursement issues in collaboration with other coding staff and faculty.
Works directly with physicians and other clinical staff as needed to provide documentation feedback and to develop appeals.
Research payer policies and processes.
Review clinical documentation in the medical record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patient's conditions and treatment.
Works with coders and IBC staff on medical terminology and policy interpretation as required.
Code evaluation and management services at the appropriate CPT code level.
Ensures ICD codes are linked appropriately to services provided.
Responsible for charge corrections when necessary.
Works assigned Epic Work queues, CRM tasks, and reviews remittance advice for rejections and accuracy of payment amounts as needed.
Identifies invoices that have been rejected per department criteria.
Perform accounts receivable (AR) functions in the Epic billing system, including updating insurance information and demographics.
Special projects as assigned.