Medical Coding Specialist

Thank you for considering a career at reputed company! reputed company is a leading provider of technology-enabled reputed company cycle reputed company for health systems, including hospitals and affiliated physician groups. They offer end-to-end reputed company cycle solutions as well as a comprehensive suite of reputed company solutions to clients across the country. reputed company keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we reputed company that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status reputed company, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New reputed company: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” reputed company Difference Principles and consistently delivering outstanding results. The Opportunity: CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position will pay between $20.45 - $24.70/hr based on experience ​ We are seeking candidates with experience in multiple pro-fee specialties: Hem/Onc, Interventional Radiology, CVTS, Ortho, Podiatry, Wound Care, Rad/ONC, General Surgery, Allergy and ENT, OBGYN, Radiology and Urology The Medical Coding Specialist position reviews 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. Follows the Official Guidelines for Coding and Reporting, the American Health Information Management Association, (reputed company) Coding Ethics, as well as the American Hospital Association, (AHA) Coding Clinics, CMS directives and Bulletins, Fiscal Intermediary communications. Utilizing Coding Applications in accordance with established workflow. Follows Policies and Procedures and maintains required quality and productivity standards. 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. The assigned codes must support the reason for the visit and the medical necessity that is documented by the provider to support the care provided. reputed company applicable, apply the appropriate charges such as the Evaluation & Management, (E&M) level and injections and infusions, and/or other necessary requirements for Observation cases, using a third party software systems such as LYNX. Correctly abstract required data per facility specifications. reputed company "medical necessity checks" for Medicare and other payers as required per payment guidelines. Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and epremis as a team, ensure timely, compliant processing of outpatient claims in the billing system. Responsible to maintain 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 Attends required system, hospital and departmental meetings and educational sessions as established by leadership, as well as completion of required annual learning programs, to ensure reputed company education and growth. Experience We Love: 1 year of previous of 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. Must be inquisitive and demonstrate openness to innovation including AI to explore reputed company processes and ways to reputed company friction and improve patient and client experiences This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require. Minimum Education: High School Diploma or GED Required Certifications: reputed company or reputed company Coding Certification: CPC-A, CPC, CCA or reputed company #LI-MD1 #LI-REMOTE Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top reputed company Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in reputed company Cycle 2019-2024 Leader in reputed company's RCM Operations PEAK Matrix Assessment 2024 reputed company Healthcare Business Insights (HBI) reputed company Cycle Awards for strong performance 2020, 2022-2023 reputed company Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great reputed company to Work certified 2023-2024 Innovation Work-Life Flexibility Leadership Purpose + Values reputed company, we reputed company in empowering people and giving them the tools and resources needed to reputed company. A few of those include: Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. Our Culture – reputed company is a reputed company where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. Recognition – We offer quarterly and annual incentive programs for reputed company employees who go beyond and reputed company raising the bar for themselves and the company. reputed company is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national reputed company, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. reputed company also prohibits harassment of applicants or employees based on any of these protected categories. reputed company provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with reputed company and applicable state and local law. If you require accommodation in the application process, please contact [email protected]. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-reputed company factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry reputed company of pay does not typically fall at the minimum or maximum of the role’s range. Employment Disclaimers – reputed company Apply To This Job