Remote Coder

Coders will work with hospitals and clinics to obtain accurate reimbursement for healthcare claims. Assign procedure and diagnosis codes for insurance billing. Coders will also review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission. If a claim is denied due to incorrect coding, the Coder conducts medical records research and corresponds with insurance companies and healthcare professionals to resolve the issue.

Qualifications

Duties and responsibilities

• Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding.
• Resolve medical record documentation deficiencies through healthcare provider query, and provides routine feedback to healthcare providers to correct deficiencies.
• Perform quality assessment of records, including verification of medical record documentation (both electronic and hand written).
• Responsible for researching errors or missing documentation from medical record, in order to provide accurate coding processes.
• Abstracts and assigns the appropriate ICD-10, CPT, and HCPCS codes
• Performed Qualitative Analysis to ensure coding accuracy of diagnosis and procedures, to meet current coding requirements and an accurate reflection of the scope of practice for each unique specialty.
• Abstracts and codes the ICD-10, CPT, and HCPCS codes for all diagnosis and procedures performed in an outpatient and inpatient setting.
  Desired Skills/Experience
  

• AA in Medical Coding or Certificate in Health Information Technology or Medical Coding
• Two years’ experience in Facility/Pro-Fee coding
• Certified Professional Coder
• CPT, HCPCS, ICD-10, CPC-Hospital, CPC-Payer
• AAPC Membership