Certified Professional Coder
Balance Health
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Review clinical documentation to assign diagnostic and procedural codes for inpatient and outpatient medical records according to the appropriate classification system
- Ensures accurate, timely, and appropriate assignment of ICD-10, CPT/HCPCS, and modifiers for the purposes of billing, internal and external reporting, research, and compliance with regulatory and payer guidelines
- Monitors documentation turnaround time and productivity, and follows up on deferred accounts or with physicians and other clinical staff as needed
- May be tasked with generating reports and/or analyzing data related to evaluation and management code utilization, CPT code application, denials, reimbursement per contracted terms, etc.
- Provides coding feedback to providers, clinical department leadership, and revenue cycle team
- Escalate coding and documentation issues to revenue cycle leadership, and assist facilitating corrective action plans
- Assists with design and implementation of workflow updates and coding tools
- Support denial team on coding related denials
- Assist Coding Manager on physician education projects
- Any other duties as assigned
Requirements
- Certified Professional Coder (CPC) or Certified Coding Specialist- Physician Based (CCS-P) required
- Certified Outpatient Coding (COC) a plus.
- Certification in conjunction with physician based coding experience, including evaluation & management (E/M) and surgical coding experience
- A minimum of three (3) years of coding experience within Podiatry and/or foot and ankle orthopedic surgery, wound care a plus.
- Knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing, with demonstrated ability to interpret such guidelines
- Demonstrates an advanced knowledge and skill in analyzing patient records to identify non-conformances in CPT, ICD-10-CM and HCPCS code assignment
- Demonstrates commitment to continuous learning
- Proficient in Excel, Word, Data Entry, computerized health care billing software knowledge, experience in Modernizing Medicine or EClinical Works a plus
- Excellent verbal and written communication skills.
- Proficient touch-typing skills.
- Ability to focus for extended periods
- Ability to manage multiple priorities and projects
- Excellent time management skills
- Ability to lead by example
Benefits
- Medical
- Dental
- Vision
- Life Insurance
- Flexible Spending Account
- Healthcare Spending Account
- 401(k) Matching
- Paid Time Off
- Training Provided
- Pet Insurance
- Remote work
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
ICD-10CPTHCPCScodingevaluation & management codingsurgical codingdata analysisdocumentation reviewbillingcoding feedback
Soft skills
communicationtime managementfocusmultitaskingleadershipcommitment to continuous learningproblem-solvingcollaborationattention to detailorganizational skills
Certifications
Certified Professional Coder (CPC)Certified Coding Specialist- Physician Based (CCS-P)Certified Outpatient Coding (COC)