Coder - HIM Revenue Cycle - Full Time - Days - Remote

Position Overview

The Coding Specialist is responsible for accurately coding all Physician Office and Hospital charges from all departments supported by the Ambulatory CBO. This role ensures quality and compliance in coding services—including procedures and surgeries—while reducing edits and denials of claims. The position is Remote and plays a vital role in process improvement and training new staff.

Key Responsibilities

• Accurately code charges for input into the Practice Management System within 72 business hours of receipt.
• Identify incomplete routers and return them to the provider for completed coding.
• Review all claim edits related to charge entry requirements and correct errors within 48 business hours.
• Review claims for required documentation attachments and retrieve information from the E.H.R or request copies from the provider.
• Utilize online services for patient eligibility review, claim status, prior authorizations, and payor requirements.
• Follow all billing regulations and corporate compliance plans.
• Perform accurate charge entry independently or in conjunction with charge entry staff.
• Provide feedback to management on issues impeding timeliness or quality of billing and collaborate for resolution.
• Maintain current payor knowledge for effective claims management and timely follow-up of unresolved claims.
• Routinely review workflows for process improvement and efficiency, providing suggestions for changes.
• Independently review assigned workloads to ensure goals are being met.
• Act as a resource for staff.
• Assist management with training new staff.
• Perform other duties as assigned.

Required Qualifications

• Must have a high school diploma or equivalent.
• Must pass internal coding and 10-key tests.
• One (1) to five (5) years of previous coding experience or coding certification.
• CPC, RHIT or RHIA certification required (or must obtain within a 90-day probationary period).

Preferred Qualifications

• Experience in surgery coding.

Benefits & Perks

• Competitive benefits package with coverage effective day one of employment.
• Medical, dental, and vision coverage.
• Company paid life insurance and paid time off.
• 401k retirement plan and employee assistance program.
• Other voluntary coverage options and employee discounts.
• Salary Range: $35,360 - $68,536