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Fee For Service Coder

2+ years
$17 to $22.75 per hour
10 Aug. 26, 2024
Job Description
Job Type: Full Time Education: B.Pharm/ M.Pharm/ B.Sc/ M.Sc/Any Life Sciences 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 Summary

MyCare Medical Group is a premier primary care organization dedicated to delivering the highest quality, cost-effective care to our patients. We are currently seeking a detail-oriented and experienced Fee-for-Service Coder to join our team. This role will be pivotal in managing coding operations, ensuring compliance with industry standards, optimizing revenue cycles, and promoting a culture of continuous improvement.

Job Responsibilities:

  • Adhere to coding policies, procedures, and best practices to ensure accuracy and compliance with regulatory requirements, including ICD-10, CPT, and HCPCS.
  • Participate in regular audits and quality assurance checks to assess coding accuracy, identify improvement areas, and mitigate compliance risks.
  • Collaborate with internal departments such as billing, revenue cycle management, compliance, and clinical teams.
  • Assist in training current and new providers, including developing coding resources like documentation and training sessions.
  • Stay updated on changes in coding guidelines, regulations, and industry trends, and communicate relevant updates to team members.
  • Analyze coding-related data and metrics to monitor productivity, identify trends, and drive performance improvements.
  • Serve as a subject matter expert on coding-related inquiries, providing guidance and support to internal stakeholders.
  • Ensure timely and accurate submission of coded claims to third-party payers to minimize denials and optimize revenue capture.
  • Develop and maintain effective relationships with external partners, such as payers and auditors, to facilitate communication and resolve coding-related issues.
  • Contribute to strategic planning initiatives supporting organizational goals related to coding, billing, and revenue optimization.

Job Qualifications:

  • Bachelor's degree in Health Information Management, Medical Coding, Healthcare Administration, or a related field.
  • AAPC certification required.
  • Minimum of 5 years of experience in medical coding, with thorough knowledge of coding guidelines, regulations, and reimbursement methodologies (e.g., Medicare, Medicaid, commercial payers), particularly within a primary care practice.
  • Strong analytical skills with the ability to interpret coding-related data and metrics.
  • Excellent communication and interpersonal skills, with the ability to work effectively with cross-functional teams.
  • Proficiency in coding software, electronic health record (EHR) systems, and Microsoft Office Suite.
  • Demonstrated commitment to accuracy, integrity, and compliance in coding practices.
  • Ability to travel as needed to practices across Florida and Texas (25% travel requirement).

Benefits:

  • Comprehensive benefits package, including Health, Vision, Dental, and Life insurance.
  • Flexible Spending Account (FSA) and Employee Assistance Program (EAP).
  • 401(k) Retirement Plan.
  • Health Advocacy, Travel Assistance, and My Secure Advantage services.
  • Paid Time Off (PTO) accrual and paid holidays.

How to Apply:

Interested candidates should submit their resume and cover letter outlining their qualifications and experience.