Medical Coder Jobs

About The Position

Requirements

• High school diploma or GED
• Three (3) yrs exp in Rev Cycle or related exp in healthcare, with one of those years working specifically within Healthcare Revenue Cycle.

Nice To Haves

• Four (4) years of previous related healthcare Revenue Cycle experience preferred.
• A Bachelor's degree from a recognized college or university preferred.
• Certification with Healthcare Financial Management Association, or Certified Revenue Cycle Representative preferred.
• Prior Epic experience preferred.
• Clinical experience (i.e. medical assistant, surgical tech) or completion of medical coder training program preferred.

Responsibilities

• Contacts insurance companies and other third party payers to determine pre-certification, pre-authorization and/or medical necessity requirements for complex outpatient hospital services, and specialized procedures (i.e. Recurring Visits, Surgeries, IR).
• Obtains pre-certification or pre-authorization prior to the scheduled complex service being performed.
• Liaisons with physicians and physician office staff when needed to obtain additional demographic, insurance or clinical information.
• Notify payers of admittance if required.