Coder Ii - Op Physician Coding

2+ years

$26.66 (entry-level) - $40.00 (experienced)

United States

12 Nov. 23, 2024

Job Description

Job Type: Remote Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences/ B.sc/ IT/ B.tech Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

Job Title: Coder IIWork Model: 100% Remote
Salary Range: $26.66 (entry-level) - $40.00 (experienced), based on qualifications and prior coding experience.

Job Summary

The Coder II is skilled in three or more types of outpatient, professional fee (Profee), or low acuity inpatient coding. This role involves coding for low acuity inpatients, one-time ancillary services, emergency department visits, observation stays, day surgeries, and professional fees, including evaluation and management (E/M) coding. The Coder II utilizes various coding systems such as ICD-10-CM, ICD-10-PCS, HCPCS, and CPT to ensure accurate coding and classification assignments (e.g., MS-DRG, APR-DRG, APC).

Essential Functions

Coding Accuracy: Examine and interpret medical record documentation to accurately code diagnoses, procedures, and professional fees.
Documentation Review: Review diagnostic and procedure codes in the documentation system to ensure appropriate coding and billing.
Provider Communication: Communicate with healthcare providers regarding missing documentation elements and provide guidance as needed.
Billing Reconciliation: Address billing issues by formulating rationales for rejecting and correcting inaccurate charges.
Collaboration: Work closely with revenue cycle departments to ensure timely and accurate processing of coding and edits.
Charge Review: Review and edit charges for accuracy.

Key Success Factors

Strong knowledge of applicable coding rules, regulations, policies, and guidelines.
Familiarity with transaction code sets, HIPAA requirements, and issues impacting coding and abstracting functions.
Proficient understanding of anatomy, physiology, and medical terminology.
Demonstrated proficiency in using computer applications, group software, and Correct Coding Initiatives (CCI) edits.
In-depth knowledge of ICD-10 diagnosis and procedural coding as well as CPT procedural coding.
Ability to interpret health record documentation for accurate code assignment.
Flexibility to balance regulatory requirements with operational needs.

Required Certifications

Candidates must possess one of the following certifications:

Registered Health Information Administrator (RHIA)
Registered Health Information Technologist (RHIT)
Certified Coding Specialist (CCS)
Certified Coding Specialist Physician-based (CCS-P)
Certified Professional Coder (CPC)
Certified Outpatient Coder (COC)
Certified Inpatient Coder (CIC)
Certified Interventional Radiology Cardiovascular Coder (CIRCC)

Benefits

Our competitive benefits package includes:

Immediate eligibility for health and welfare benefits
401(k) savings plan with a dollar-for-dollar match up to 5%
Tuition reimbursement
PTO accrual starting on Day 1
(Note: Benefits may vary based on position type or level.)

Qualifications

Education: High School Diploma or GED equivalent required.
Experience: Minimum of 2 years of relevant coding experience required.

This position offers an opportunity to work remotely while contributing to the accuracy of medical billing processes. If you meet the qualifications and are passionate about medical coding, we encourage you to apply.

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Coder Ii - Op Physician Coding

Job Description

Job Summary

Essential Functions

Key Success Factors

Required Certifications

Benefits

Qualifications

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