Job description
EqualizeRCM is a leading provider of specialized consulting and remote revenue cycle management services to healthcare providers. We have assembled professionals of the highest caliber – CEOs, CFOs, RCM operations managers, Six Sigma practitioners, CTOs, and experienced consultants to deliver comprehensive revenue cycle analysis and solutions to clients of every size. Our clients range from rural hospitals to urban urgent care and everything in between.
Come join our team and provide the highest quality of service to our clients and partners! We are currently seeking a dedicated, self-motivated, and experienced Medical Coders to join the team. The Representative will report to the Coding Manager and is responsible for ensuring world class service to patients and medical providers on behalf of EqualizeRCM clients.
Responsibilities and Duties
- Reviews medical record documentation to identify pertinent diagnoses/procedures that require code assignment.
- Reviews the medical record to assure specificity of diagnoses, procedures, and appropriate optimal reimbursement for professional charges.
- Effectively assigns ICD 9/10, CPT, HPCPS, or other codes as appropriate per coding guidelines. Assignment of DRG codes may be appropriate for inpatient coding environments.
- Queries physicians when code assignments are not straightforward or when documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
- Keeps abreast of coding guidelines and reimbursement reporting requirements. Brings identified concerns to department leadership for resolution.
- Maintains coding accuracy and productivity levels set by the department.
- Abides by the Standards of Ethical Conduct set forth by the American Association of Professional Coders/American Health Information Management Association.
- Completes appropriate continuing education requirements for any credentials held, as necessary.
- Assigns modifiers as needed per CPT coding guidelines and NCCI edits.
- Reviews and audits charges for observation hours, IV and infusions, procedures, medication start/stop times, anesthesia time, surgery time any others as needed (this could be incorporated into or after the second point below).
- Performs other duties as required.
Qualifications
- Education- High school diploma, or equivalent required; college degree preferred.
- Experience - 3+ years’ experience in coding preferred.
- License/ Certifications - Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required. RHIA/RHIT preferred.
Job Type: Full-time
Benefits:
- Health insurance
- Life insurance
- Paid time off
- Work from home
Schedule:
- Monday to Friday
Work Location: Remote
blackflymedia.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, blackflymedia.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, blackflymedia.com is the ideal place to find your next job.