Certified Medical Coder

Our Billing Co. is seeking a Certified Medical Coder to review medical documentation and assign correct CPT and diagnosis codes.

Essential Functions

• Review E / M, diagnostic and procedural documentation and assign correct CPT and diagnosis codes.
• Work with RCM team to identify patterns, trends and variations in coding and documentation practices.
• Prepare documentation summary / findings to support development of corrective action plans.
• Assist management team in the development of effective education programs for staff.
• Provide on-going guidance to RCM team on the correct use of modifiers.
• Assist RCM team with documentation required to appeal claims and overturn denials.
• Assess claims to ensure adherence with payer guidelines.
• Research and work collaboratively with clinic staff to capture all billing activities (e-bill management).
• This may require access to additional information systems (EMR or Data Warehouse).
• Respond to RCM team and vendors promptly to address information needed for claim resubmission and denial resolution.
• Assist in the development of protocols and workflows to ensure correct billing and maximum reimbursement.
• Maintain productivity and accuracy standards as determined by each division.
• Deliver exemplary customer service in order to provide a positive experience across the organization.
• Perform other duties assigned by management.

Minimum / Preferred Qualifications

This job will be fully remote. Our Billing Co. offers a competitive benefits package!

Pay Range : $23.00 - $25.30

Individual annual salaries / hourly rates will be set within job's compensation range, and will be determined by considering factors including, but not limited to market data, education, experience, qualifications, and expertise of the individual and internal equity considerations.

We are an equal opportunities employer and welcome applications from all qualified candidates.

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