Remote Coder (CPC)

Proliance Surgeons•Seattle, WA

3d•$25 - $44•Remote

About The Position

The role of the remote Revenue Cycle Coder is crucial to the revenue cycle team. The team connects with our patients, their insurers or bill payers and our physicians. Accuracy and efficiency of this team directly impacts our mission to be the leader in physician-managed healthcare services and to provide excellent surgical and clinical care for every patient, every day. The Revenue Cycle Coder is critical to maintaining the funding for our services provided.

Requirements

Minimum 3 years coding/medical billing experience
Professional coder certification with credentialing from AHIMA and/or AAPC, must be maintained annually
CPC is required
ICD10 certified and/or extensive work experience
A strong understanding of physiology, medical terms, and anatomy
Thorough attention to detail
Excellent written and verbal communication skills
Self-motivated team player able to multi-task and prioritize
Excellent organization and interpersonal communication skills
Strong computer skills
Strong computer skills/experience with Microsoft Excel, Outlook, and Adobe
Working experience navigating EHR’s to abstract documentation

Responsibilities

Reviews/audits and interprets medical record documentation to identify pertinent diagnosis/procedure and apply correct ICD10, CPT-4, and HCPC’s codes in accordance with government and insurance regulations.
Demonstrates appropriate utilization of coding software and coding reference material.
Follow up with providers on any documentation that is insufficient, missing, or unclear.
Assists providers with questions regarding coding and documentation guidelines. Provides ongoing feedback based on observations from coding documentation and identifies opportunities for education and communicates trends to leaders.
Keeps up to date on carrier policies/guidelines to ensure all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or Payer-specific guidelines.
Reviews and resolves suspended charges due to claim edits or payor rejections related to coding.
Reviews, corrects and appeals coding-related denials trends and shares with leadership, and team members to facilitate root cause analysis and continuous process improvement.
Corrects and/or appeals denied claims due to coding errors
Other duties as assigned