Remote Medical Coder - Compliance and Billing Specialist
Job Overview
We are looking for a meticulous and skilled Medical Coder to become a vital part of our dedicated team. In this remote position, you will play an essential role in converting provider services into the correct billable codes from medical documentation, ensuring adherence to industry standards and payer guidelines. Your contributions will be instrumental in guaranteeing that the services rendered are accurately coded for billing purposes and comply with established coding ethics and regulations.
Key Responsibilities
Precisely extract provider services (CPT, HCPCS, ICD-10) from medical documentation, in compliance with AAPC, AHIMA, and NAMAS coding ethics as well as payer coverage guidelines.
Daily posting and reconciliation of charges in a hospital environment (IP/OP/OBS).
Engage with providers and staff to clarify issues surrounding medical necessity, ambiguous codes, absent or incomplete diagnoses, and inadequate documentation.
Leverage coding and payer resources to ensure the precise coding and billing of documented services.
Support coding denials by partnering with the Accounts Receivable Specialist to draft appeal letters and supply necessary documentation.
Remain updated on coding and billing practices through continuous education and access to tools such as Encoder Pro and pertinent coding subscriptions.
Undertake additional responsibilities as required to bolster team efforts.
Required Skills
Extensive experience in coding medical services (CPT, HCPCS, ICD-10) from clinical documentation, ensuring precision and compliance with AAPC, AHIMA, and NAMAS standards.
Proficient communication skills in both written and spoken English; proficiency in additional languages is advantageous.
Exceptional customer service capabilities, coupled with a professional and respectful phone demeanor.
Capacity to manage confidential information with discretion while maintaining a high level of professionalism.
Strong analytical skills, with the ability to work autonomously and efficiently meet productivity benchmarks.
Robust organizational abilities and aptitude for prioritizing a diverse workload within a fast-paced environment.
Positive mindset and readiness to contribute to a collaborative team atmosphere.
Qualifications
A high school diploma or equivalent is required.
A minimum of 2 years of experience in medical billing and/or coding is essential.
Relevant certifications in Medical Billing and Coding (AAPC, AHIMA) are highly desirable.
Employment Type: Full-Time
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