Position: Remote Coder – Office/Hospital
FTE: 1.0
Shift Hours: Monday – Friday
Work Location: Remote - Authorized remote work states - FL, GA, MO, PA, NC, SC, TN and TX
Position Summary:
Under general supervision, this role reviews, analyzes, and assigns final diagnoses and procedures based on provider documentation, following all compliance policies and guidelines. The Coder accurately codes office and hospital procedures to ensure proper reimbursement. Additionally, this position provides physician education to ensure proper completion of Electronic Health Records and accurate assignment of ICD-10, CDM, HCPCS, and CPT codes, delivered verbally, physically, and in written form.
Key Responsibilities:
Review clinical documentation and code to the highest level of specificity for accurate charge capture
Interact with providers to provide feedback and education using physical, verbal, and written communication
Assign and sequence appropriate codes and modifiers using current procedure, diagnosis, and HCPCS for billed services
Follow coding guidelines and legal requirements to ensure compliance with federal and state regulations
Communicate with physicians, other business group personnel, clinical areas, and staff regarding coding-related questions
Manage coding-related edit work queues
Prepare documentation audits with written results and trend data; present findings to providers, department chairmen, and/or compliance officers
Maintain compliance standards in accordance with internal policies and report compliance issues appropriately
Identify and account for missing charges and/or documentation
Perform coding work requiring independent judgment, ensuring timeliness and accuracy
Qualifications:
Experience Requirements:
3 years of medical billing experience (required)
Extensive experience in coding (required)
Experience with medical management information systems and medical software (required)
Education:
High School Diploma or GED equivalent (required)
Certification/Licensure:
Certified Professional Coder (CPC) (required at time of hire)
Additional Duties:
Perform additional duties as assigned, which may vary
Equal Employment Opportunity:
UFJPI is an Equal Opportunity Employer and maintains a Drug-Free Workplace