Medical Coder (1933)

US Heart & Vascular•Franklin, TN

21h•Remote

About The Position

US Heart and Vascular is in need of a Remote Medical Coder to join our team. Position Summary The Professional Fee Medical Coder, Level 3 reviews medical documentation that physicians or other healthcare professionals complete to validate, assign, and sequence CPT/HCPCS, ICD-10CM, and modifiers for clinic and hospital-based professional encounters. The Coder applies coding conventions per official coding and regulatory guidelines, third-party payer policies, and departmental procedures. This role is responsible for complex surgical coding in the inpatient and outpatient settings. May also be assigned E/M encounters, ancillary diagnostic procedures, and other inpatient and outpatient visits.

Requirements

Analytical skills, ability to interpret data and maintain spreadsheets
Knowledge of ICD-10CM and CPT coding conventions
High-level understanding of all federal/governmental regulations, coding guidelines, and revenue cycle policies and procedures
Proficiency in Microsoft Office suite and expert knowledge of multiple EMR platforms
High School Diploma or equivalent required
3 years of related experience required
May substitute required experience with equivalent years beyond the minimum education requirement.
One or more of the following credentials are required within 12 months of employment: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician-based (CCS-P), Certified Professional Coder (CPC) Certified Cardiology Coder (CCC)

Nice To Haves

2 years of experience coding complex procedures preferred

Responsibilities

Reviews encounter in a timely manner and resolves all coding-related edits.
Reviews medical records and accurately assigns and sequences CPT, ICD-10CM, and HCPCS codes/modifiers, ensuring compliance with all applicable guidelines.
Generates physician queries following established procedures.
Provides feedback and education as required.
Confirms that all applicable USHV and Coding Guidelines are followed while coding and resolving edits.
Performs charge entry of professional services, including but not limited to non-invasive tests and hospital or office-based visits.
Abstracts information needed for billing.
Performs charge reconciliation via logs, visit schedules, and other reports when applicable to the department.
Meets the required coding quality and productivity expectations per department policy and procedures.
Completes all education assigned by USHV leadership and compliance.
Maintains required continued education hours relevant to professional credentials
Stays current with all federal, state, coding, and departmental guidelines and procedures.
Performs other duties as assigned.