Medical Coder (REMOTE)

Seeking Medical Coders for a 100% Remote Position in the EST timezone.

A medical coder is responsible for accurately assigning appropriate medical codes to diagnoses, procedures, and services provided during patient encounters. They ensure that healthcare providers receive proper reimbursement for services rendered by translating medical records and reports into standardized codes.

Responsibilities:

• Review Medical Documentation: Read and analyze medical records, physician notes, laboratory results, and other healthcare documentation to accurately assign diagnostic and procedural codes.
• Assign Medical Codes: Utilize standardized code sets such as ICD (International Classification of Diseases), CPT (Current Procedural Terminology), and HCPCS (Healthcare Common Procedure Coding System) to assign appropriate codes to diagnoses, procedures, and services provided during patient care.
• Ensure Accuracy: Ensure the accuracy and completeness of coded data by conducting thorough reviews of medical records and documentation, and clarify discrepancies with healthcare providers when necessary.
• Compliance: Adhere to coding guidelines, regulations, and compliance standards established by government agencies, such as the Centers for Medicare and Medicaid Services (CMS), as well as third-party payers and healthcare organizations.
• Maintain Confidentiality: Handle sensitive patient information with strict confidentiality and adhere to HIPAA (Health Insurance Portability and Accountability Act) regulations to protect patient privacy and confidentiality.
• Stay Updated: Stay current with changes in coding guidelines, regulations, and industry updates through continuing education, training programs, and participation in professional development activities.
• Collaboration: Collaborate with healthcare providers, physicians, nurses, and other medical professionals to ensure accurate coding and documentation practices, and provide education on coding-related matters when necessary.
• Billing Support: Work closely with billing and reimbursement teams to ensure accurate claims submission, resolve coding-related denials or rejections, and assist with revenue cycle management processes.
• Data Analysis: Assist in data analysis initiatives by extracting coded data for statistical reporting, quality improvement initiatives, and research purposes.
• Documentation Improvement: Identify opportunities for documentation improvement to ensure accurate code assignment and optimize reimbursement, and provide feedback to healthcare providers and clinical documentation improvement specialists.

Qualifications

• Certification: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or other relevant coding certification preferred.
• Education: Associate's degree or equivalent education in health information management, medical coding, or related field.
• Knowledge: Proficiency in medical terminology, anatomy, physiology, pharmacology, and disease processes. Strong understanding of coding guidelines, regulations, and compliance standards.
• Skills: Excellent analytical skills, attention to detail, and critical thinking abilities. Proficient in using coding software and electronic health record (EHR) systems. Effective communication and interpersonal skills.
• Experience: Prior experience in medical coding or healthcare documentation preferred.