Remote Medical Coder Multispecialty Outpatient

Guidehouse • San Antonio, TX

99d • $46,000 - $76,000

About The Position

The Multispecialty Surgery Coder II will Code for Multispecialty Surgery physicians primarily Single Path Coding. Multi-specialty surgical coding experience, any Trauma, Urology, ENT, Plastics, GenSurg, OB/GYN, Cardiovascular, Interventional Radiology, etc. Ability to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager—the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers and recommending the appropriate action to resolve the claim based on payer guidelines. This position is full time as and 100% remote.

Requirements

• High School Diploma/GED.
• One of the following recognized professional coding certifications: Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS).
• Successful completion of a training course beyond apprentice level for medical technicians, hospital corpsmen, medical service specialists, or hospital training.
• EMR experience.
• Must maintain credential throughout employment.

Nice To Haves

• Recognized E&M coding certifications: Certified Evaluation and Management Coder (CEMC), or National Alliance of Medical Auditing Specialists’ (NAMAS) Certified Evaluation and Management Auditor (CEMA).
• Ability to work independently, multi-task well and interface with all levels of personnel as well as clients.
• Knowledge & experience with Federal & State Coding regulations and Guidelines to include DHA or Military Health Coding experience.
• Multiple EMR and/or Practice Management systems experience.
• Single path coding experience.

Responsibilities

• Demonstrates the ability to perform quality surgical coding and multispecialty chart types as assigned.
• Maintains a working knowledge of ICD-10 and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing.
• Assures that all services documented in the patient’s chart are coded with appropriate ICD-10 and CPT codes.
• Seeks to attain proper documentation in a timely manner according to facility standards when services/diagnoses are not documented appropriately.
• Achieves and maintains 97% accuracy in coding while maintaining a high level of productivity.
• Works the review queue daily to ensure all charts that are placed in the review queue are worked and any corrections are communicated to the facility if necessary.
• Corrects and communicates charts that require re-bills to the facility daily for the re-bill process.
• Reports coder downtime immediately to the administrative staff to ensure turnaround is met.
• Works directly with the IQC staff to ensure quality standards are being met for each facility.
• Provides accurate answers to physician’s/hospitals coding and/or billing questions within eight hours of request.
• Codes or pending every chart placed in their queue within 24 hours.
• Notifies administrative staff in the event they cannot meet the twenty-four hour turnaround standard.
• Checks the Guidehouse email system at least every two hours during coding session.
• Maintains current professional credentials while working for Guidehouse.
• Becomes familiar with the Guidehouse coding website and uses the information contained in the website as a daily tool to correctly code and abstract for each facility.
• Maintains HIPAA compliant workstations.
• Reviews and adheres to the coding division policy and procedure manual content.
• Works well with other members of the facilities coding and billing team to ensure maximum efficiency and reimbursement for properly documented services.
• Communicates problems or coding principle discrepancies to their supervisor immediately.
• Maintains professional communication in emails.

Benefits

• Competitive compensation.
• Flexible benefits package.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees