Remote Claim Edit Coder

Presbyterian Healthcare Services • Albuquerque, NM

377d • $34 • Remote

About The Position

Now hiring a Remote Claim Edit Coder. Has the knowledge and ability and will be required to code all of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers or demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures.

Requirements

• Must have any one of the following coding certifications at time of hire: CCS, CCS-P, CPC-H, or RHIT/RHIA with achievement of one of the coding credentials above within one year of hire.
• Three to five years experience as a coder required.
• Inpatient Coding experience preferred.

Responsibilities

• Demonstrate knowledge of coding multiple areas of service and/or specialties or extensive experience in a specific specialty deemed a critical business need by PHS Coding Leadership.
• Review patients' entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG to be used for financial reimbursement, research in accordance with Federal Regulations and Hospital and Departmental policies.
• Access several systems via the computer to research the medical record when needed to complete the coding in a timely manner.
• Take responsibility for accounts receivable by looking for lost documents to ensure all encounters are coded, including the generation of appropriate queries, as needed.
• Maintain and disseminate up-to-date technical knowledge of legal and regulatory information from all appropriate jurisdictions concerning the given business area.
• Resolve any and all pre-bill edits, denials, etc. for assigned accounts.
• Participate in all departmental in-services and updates to stay current with the accepted coding guidelines and improve personal knowledge of medicine and treatment.
• Communicate issues to the EW Clinical Coding Manager, as appropriate.
• Maintain at least a 95% accuracy rate.
• Maintain average to high productivity based on PHS Productivity Standards.
• Maintain continuing education (CE) requirements per PHS policy.
• Perform other functions as required.

Benefits

• Medical
• Wellness program
• Vision
• Dental
• Paid time off
• Retirement
• Short-term and long-term disability
• Group term life insurance
• Optional voluntary benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Hospitals
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees