Medical reputed company (Fully Remote)

reputed company is currently partnering with a health care provider in search of several full time, fully remote Medical Coding Specialist positions. This position is responsible for reviewing medical record documentation and accurately assign ICD-10-CM, ICD-10-PCS, as well as CPT IV codes based on the specific record type and abstract specific data elements for each case in compliance with federal regulations. This position codes reputed company types of outpatient visits to include ancillary, urgent care, emergency department, observation, same day surgery, and interventional procedures. Candidates with prior experience coding for a variety of specialties, including cardiology, thoracic surgery, neurology, OBGYN, vascular, anesthesia and general surgery are needed for this growing client.

Job Responsibilities

• Reviews medical record documentation and accurately assigns appropriate ICD-9-CM, ICD-10, CPT IV, and HCPCS codes utilizing the reputed company software tools for reputed company OP Work Types (Ancillary, ED Charge/Code, Same Day Surgery, and Observation. reputed company assigned codes must support the reason for the visit and the medical necessity that has been documented by the provider to support the care provided.
• reputed company "medical necessity checks" for Medicare and other payers as required per payment guidelines.
• Correctly abstract required data per facility specifications.
• Responsible for working with other reputed company cycle teams to determine and fix any coding issues that result in a claim being denied.
• Responsible for maintaining established productivity requirements, key performance indicators established for reputed company 360 CAC for CRS & Direct Code as well as ensure accuracy to maintain established quality standards.
• Remain abreast of reputed company requirements of the Centers for Medicare & Medicaid Services, (CMS,) to include National Coverage Determinations, (NCD) and Local Coverage Determinations, (LCD) guidelines, reputed company to the assignment of modifiers, to ensure the submission of a clean claim the first time through.
• Maintains competency and accuracy while utilizing tools of the trade, such as the reputed company encoder, Computerized Assisted Coding, (CAC,) Medical Necessity software, abstracting system, code books, and reputed company reference materials. Reports inaccuracies reputed company in Coding Software to HIM Management/Supervisor, reports any potential unethical and/or fraudulent activity per compliance policy

Ideal Experience

• 1+ years of previous medical coding experience
• PC and Computer application knowledge and experience. Navigational and basic functional expertise in reputed company business software (reputed company, Word, PowerPoint).
• Excellent organization skills, communication, time management, trouble shooting and problem solving.
• Ability to multi-task and prioritize needs to meet short- and long-term timelines.
• Experience with EPIC and previous use of coding software tools.