
Claim Edit Coder
Presbyterian Healthcare Services
full-time
Posted on:
Location Type: Remote
Location: New Mexico • United States
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Salary
💰 $22 - $33 per hour
Job Level
About the role
- code inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers
- demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership
- ensure adherence to Hospital and Departmental Policies and Procedures
- review the patient's entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG
- access several systems via the computer to research the medical record when needed to complete the coding in a timely manner
- take responsibility for accounts receivable by looking for lost documents to ensure all encounters are coded
- maintain and disseminate up-to-date technical knowledge of legal and regulatory information from all appropriate jurisdictions concerning the given business area
- responsible for resolving any and all pre-bill edits, denials for assigned accounts
- participate in all departmental in-services and updates to stay current with accepted coding guidelines
Requirements
- High school diploma/GED required
- Must have any one of the following coding certifications at time of hire: HCS-D, CCS, CCS-P, CPC-H or CPC, or RHIT/RHIA with achievement of one of the coding credentials above within one year of hire
- One-three years experience as a coder required
- Must possess computer skills including, but not limited to, Word, Excel, PowerPoint
- Experience with an encoder preferred
- Experience with an Electronic Medical Record preferred
- Must be able to use the internet and other electronic resources for the purpose of research
Benefits
- medical
- dental
- vision
- short-term and long-term disability
- group term life insurance
- other optional voluntary benefits
- wellness rewards program
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
codingCPT codingICD codingMS-DRG codingaccounts receivable managementpre-bill edits resolutiondenials managementmedical record reviewencoder usageElectronic Medical Record (EMR)
Soft Skills
attention to detailresponsibilitytimelinessadaptabilitycommunication
Certifications
HCS-DCCSCCS-PCPC-HCPCRHITRHIA