Our client, a pedriactic focused healthcare organization, is actively looking for a Medical Coder to join their team! This role is 100% remote however should be comfortable working EST hours.
This is a contract role through Jan 1, 2025. There is opportunity for extension based on performance.
This Medical Coder will be responsible for assisting the company's provider team in the accurate coding of patient medical records.
This person will serve as a subject matter expert in ICD-10-CM, CDPS, CPT, Telehealth, and Behavioral Health Services. Familiarity with E&M and HEDIS is absolutely required!
Responsibilities
Account for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
This is done in adherence with ICD-10-CM Official Guidelines for Coding and Reporting
- Analyze and audit medical records to identify documentation deficiencies and determine opportunities for education and documentation improvement
- Evaluate diagnostic and procedural information for compliance with applicable state and federal guidelines and internal policies and procedures
- Assign codes for encounter submission, research and comply with regulatory requirements and guidelines
- Follow coding conventions and serve as coding consultant to care providers
- Identify discrepancies, potential quality of care, and coding issues to discuss with Coding Manager.
- Research, analyze, recommend, and facilitate plan of action to correct discrepancies and prevent future coding errors utilizing coding queries and provider education
- Communicate and provide clear education to providers under the supervision of the Coding Manager
- Submit charges to payors and work A / R as needed
Required Skills & Experience
- Certified Professional Coder (CPC) Certification Required
- Experience in Pediatrics Required
- Telehealth and Behavioral Health preferred
- 3 to 5 years’ experience with physician office billing and coding
- Understanding of CPT (and E&M), HCPCS, HEDIS and ICD-10 is required
- Previous experience with Medicaid and commercial payers
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