Certified Professional Coder - REMOTE- Full Time

Certified Professional Coder

Ability to successfully review medical record documentation for comprehensive, compliant and appropriate procedure and diagnosis code assignment, while meeting correct coding, and general billing and claims’ filing rules. The certified coder must maintain a professional relationship with hospital and clinical staff. The coder holding this position must be able to work as part of the integrated Revenue Integrity / Revenue Cycle team, including Revenue Cycle Directors, Revenue Integrity Auditors, fellow Coders, Coding Supervisor and Vice President of Revenue Integrity.

This position may have primary coding responsibilities to either Provider (Professional Services, WPS) and / or out-patient facility coding.

Primary Responsibilities:

Review and interpret medical record documentation to properly assign CPT (Current Procedural Terminology), HCPCS (Healthcare Common Procedure Coding System) and ICD-10 CM (International Classification of Diseases, 10th Clinical Modifications) codes according to current coding rules and instructions.

Verify that all necessary documentation is complete and suitable for coding purposes, both diagnosis and/or procedure.

Follow established query process for clinical teams and providers for any necessary clarification needed for proper code assignment, including any documentation that contains any unclear or unspecified notes.

Possess and utilize knowledge of code sequencing, for outpatient facility and/or professional services code edits and third-party reimbursement requirements as it relates to appropriately documented healthcare services.

Coordinate these responsibilities for multiple centers and/or providers.

Verify and/or confirm quality measures for MIPS reporting

Additional Responsibilities:

Performs other related duties as assigned.

Education and Technical Skills:

Certified professional coder, as credentialed by either AAPC or AHIMA

Proficient and highly knowledgeable of current coding and billing guidelines

ICD-10 CM

CPT

HCPCS

Appropriate use of modifiers

Proficient in Excel, Word and Outlook email software

Familiarity and / or experience with electronic medical records

Must have and maintain a valid driver’s license

Additional Eligibility Qualifications/Competencies:

General knowledge and understanding of basic HIPAA guidelines

Minimum of 2 - 3 years’ experience in medical coding, preferably in wound care and / or HBOT.

Possess excellent organizational skills

Be detail oriented and comfortable multi-tasking

Clear, concise and effective verbal and electronic communication skills

Possess strong interpersonal skills

Ability to work in a results-driven position

Work with coding team and leadership in a collaborative manner.

Be a leader in your field of expertise.

Physical Requirements:

This position requires periods of time in which sitting, standing, use of hand and foot motion, vision, hearing, summarizing, focusing with frequent interruptions along with other physical, sensory and cognitive sensory functions are required.

Note: The above is intended to describe the general content of and requirements for the performance of this job. It is not construed as an exhaustive statement of duties, responsibilities or requirements and may change at any time.

All qualified applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, gender identity, sexual orientation, national origin, disability, or protected veteran status. RestorixHealth is an EO employer – M/F/Veteran/Disability