Experienced RN or LPN & Certified Medical Coder for Remote Healthcare Insurance and Coding Operations with Occasional Onsite Meetings in South Carolina

Join Our Team: Revolutionizing Healthcare Insurance and Medical Coding

We are a leading healthcare organization dedicated to delivering high-quality insurance services and medical coding solutions. Our team is comprised of professionals who are passionate about making a difference in the healthcare industry. We are now seeking an experienced RN or LPN & Certified Medical Coder to join our team on a full-time contract basis, working remotely with occasional onsite meetings in South Carolina.

About Our Company and the Role

As a key member of our team, you will play a crucial role in ensuring the accuracy and efficiency of our medical coding and insurance operations. With a strong background in healthcare insurance, medical review, and coding, you will be responsible for providing expert guidance and support to our teams. This is an exciting opportunity to leverage your skills and experience in a dynamic and growing organization.

Key Responsibilities

• Provide expert medical coding guidance and support to ensure accurate and compliant coding practices.
• Collaborate with IT developers and programmers to implement coding solutions and improve operational efficiency.
• Review and analyze medical records to ensure accurate coding and compliance with regulations.
• Develop and maintain formal business process documentation to support coding and insurance operations.
• Communicate effectively with executive management, line management, project management, and team members to ensure seamless collaboration.
• Stay up-to-date with industry developments and changes to coding regulations and guidelines.
• Participate in policy remediation and other special projects as needed.

Essential Qualifications

To be successful in this role, you will need to meet the following essential qualifications:

• A minimum of 5 years of experience in healthcare insurance, medical review, program integrity, or appeals.
• A minimum of 5 years of experience working with IT developers/programmers in a payor environment.
• A minimum of 5 years of experience in Medical Coding in a payer environment.
• Strong knowledge of ICD/CPT/HCPCS translation and coding methodologies.
• Extensive knowledge of anatomy, physiology, pharmacology, and medical terminology.
• Superb written and oral communications skills, with strong proficiency in English.
• Strong knowledge of formal business process documentation.
• A current nursing license in South Carolina (RN or LPN).
• A medical coding certification (CPC or CCS).
• Demonstrated ICD-10 proficiency through exam.

Preferred Qualifications

In addition to the essential qualifications, we are looking for candidates with the following preferred skills and experience:

• Experience in policy remediation.
• Claims processing systems experience.
• Knowledge of Microsoft Office (Word, Excel, PowerPoint) and medical coding software (Optum Encoder or similar).

Skills and Competencies

The ideal candidate will possess the following skills and competencies:

• Strong analytical and problem-solving skills.
• Excellent communication and interpersonal skills.
• Ability to work effectively in a remote environment with minimal supervision.
• Strong attention to detail and organizational skills.
• Ability to adapt to changing priorities and deadlines.

Career Growth Opportunities and Learning Benefits

As a member of our team, you will have access to ongoing training and development opportunities to enhance your skills and knowledge. You will be working with a talented team of professionals who are passionate about delivering high-quality healthcare insurance and medical coding services. This is a great opportunity to grow your career and develop your expertise in a dynamic and growing organization.

Work Environment and Company Culture

We are a company that values its employees and is committed to providing a positive and supportive work environment. As a remote worker, you will have the flexibility to work from home and maintain a healthy work-life balance. We also offer occasional onsite meetings in South Carolina, providing opportunities to connect with colleagues and build relationships.

Compensation, Perks, and Benefits

We offer a competitive hourly rate of $110-$115 per hour on a W2 contract basis. In addition to the financial rewards, we provide a comprehensive benefits package and perks that support your overall well-being and job satisfaction.

Why Join Our Team?

If you are a motivated and experienced RN or LPN & Certified Medical Coder looking for a new challenge, we encourage you to apply for this exciting opportunity. As a member of our team, you will be part of a dynamic and growing organization that is shaping the future of healthcare insurance and medical coding. With a commitment to delivering high-quality services and supporting the growth and development of our employees, we are confident that you will find this a rewarding and fulfilling role.

Don't miss this opportunity to join our team and take your career to the next level. Apply now!