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

Position Overview

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

To accurately code all Physician Office and Hospital charges from all departments supported by the Ambulatory CBO while reducing the number of edits and denials to claims. The coding specialist is responsible for ensuring accurate coding for all services, including procedures and surgeries, while maintaining quality and compliance with industry practices. Responsibilities vary from limited surgical involvement to major surgical involvement.

Location: Remote

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 the 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.
• Know and follow all billing regulations and corporate compliance plans.
• Perform accurate charge entry if indicated and/or work with charge entry staff to ensure accuracy.
• Provide feedback to management on issues that impede the timeliness or quality of billing and collaborate for resolution.
• Maintain current payor knowledge for effective claims management and follow up on unresolved claims.
• Routinely review workflows for process improvement and efficiencies and provide feedback for change implementation.
• 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

• Education: Must have a high school diploma or equivalent.
• Skills: Must be able to pass the internal coding test and 10-key test.
• Years of Experience: One (1) to five (5) years of previous coding experience or coding certification.
• 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