Medical Coder, CPC, CCS-P
Crossroads
full-time
Posted on:
Location Type: Remote
Location: Kentucky • New Jersey • United States
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About the role
- Assign ICD-10-CM and CPT/HCPCS codes with modifiers for services provided in the facility (Professional fee coding)
- Review all applicable documentation of various providers to determine the appropriate codes to assign for all medical services, procedures, and diagnoses from available documentation within electronic medical records
- Ensures diagnosis codes meet local and national medical necessity guidelines
- Be knowledgeable of billing and coding requirements for governmental and private insurance payers
- Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all assigned services
- Demonstrates the technical competence to use the facility encoder and EMR in an office or remote setting
- Review and resolves coding edits and denials
- Assists with rebilling accounts when necessary
- Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding
- Follow all HIPAA regulations and uphold a higher standard around privacy requirements
- Completes all assigned work in a timely manner based on internal and/or payer standards
- Must meet all coder productivity and quality goals; Maintain a 95% accuracy rate
- Attending and reporting at weekly team calls with Director of Medical Coding Compliance
- Reporting coding patterns identified within the coding process to management
- Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPCS II, and ICD-10 materials, the Federal Register, and other pertinent materials
- Adhere to all internal competencies, behaviors, policies and procedures to ensure efficient work processes
- May interact with providers and/or center administrators from time to time regarding billing and documentation policies, procedures, and conflicting/ambiguous or non-specific documentation
Requirements
- Certified Professional Coder (CPC®) or CCS-P
- High School diploma, GED or equivalent
- Minimum of 2 years of coding experience with an emphasis in Evaluation and Management coding
- Experience in coding healthcare provider documentation to identify correct ICD-10-CM, CPT, and/or HCPCS codes preferred
- An excellent understanding of Mental Health / Opioid Addiction medical terminology preferred
- An excellent understanding of ICD-10-CM coding classification and CPT/HCPCS coding
- Computer literate adept skill level on MS Office applications
- Experience in Mental Health or Addiction Medicine a plus
Benefits
- Medical, Dental, and Vision Insurance
- PTO
- Variety of 401K options including a match program with no vesture period
- Annual Continuing Education Allowance (in related field)
- Life Insurance
- Short/Long Term Disability
- Paid maternity/paternity leave
- Mental Health Day
- Calm subscription for all employees
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-10-CM codingCPT codingHCPCS codingcoding accuracycoding edits resolutionrebilling accountsmedical necessity guidelinesEvaluation and Management codingcoding guidelinescoding compliance
Soft Skills
attention to detailtime managementcommunicationteam collaborationproblem-solvingorganizational skillsadaptabilityreportinginterpersonal skillsconflict resolution
Certifications
Certified Professional Coder (CPC®)Certified Coding Specialist - Physician-based (CCS-P)