Auditor Coding Specialist Remote

Trinity Health; Des Moines (IA); Remote; USD 52,000 - 70,000; Full time

Job summary

Trinity Health is seeking a Full-time Remote Medical Coder with 2+ years of ICD-9 and CPT coding experience to join our Des Moines-area team. The role requires 100% remote work and a coding certification, with knowledge of health insurance provider rules.

The essential duties include coding and abstracting records for professional billing, reviewing records for accurate diagnoses and procedures, and assisting with coding questions from billers while ensuring compliance with applicable

Qualifications

• High school diploma or GED required.
• One to two years post high school education preferred.
• A minimum of two years current experience with ICDM 9, CPT coding, and health insurance provider rules and regulations required.
• Coding Certification required.
• Knowledge of anatomy and physiology and medical terminology required.
• Proof of completion of Mandatory Reporter abuse training within three months of hire.
• Knowledge of physician EM coding desired
• Working knowledge of computer information systems required.
• Demonstrates professional, appropriate, effective and tactful communication to promote continuity of care.
• Must be a self-starter and able to work independently within guidelines.

Responsibilities

• Code and abstract patients’ records for professional billing.
• Review records retrospectively and concurrently for diagnoses and procedures for reimbursement.
• Interact with billers to assist with coding questions.
• Serve as a resource for difficult coding questions and assist with insurance denials.
• Recommend process improvements related to registration and charge posting.
• Perform in compliance with federal, state, and insurance regulations.
• Follow hospital policies concerning corporate compliance.
• Keep abreast of carrier rules and changes through education opportunities.

Skills

Communication skills

Independent work

Attention to detail

Professional judgment

Education

High school diploma or GED

Post secondary education 1-2 years

Tools

Computer information systems

Job description

Employment Type:Full timeShift:Day ShiftDescription:Full-Time (80 hours biweekly) 100% Remote
Coding Certification required
Minimum of two years current experience with ICDM 9, CPT coding, and health insurance provider rules and regulations required.

ESSENTIAL FUNCTIONS:

• Responsible for coding and abstracting patients’ records for professional billing.
• Reviews patient medical records retrospectively and concurrently for the coding and sequencing of diagnoses and procedures for reimbursement purposes.
• Interacts and assists with coding requests and questions from billers.
• Serves as a resource for difficult coding questions and assists with insurance denials for correction and re-filing.
• Makes process improvement recommendations to management as identified, specifically related to registration and charge posting.
• Performs in compliance with federal, state, insurance industry regulations.
• Follows established hospital policies concerning corporate compliance.
• Keeps abreast of insurance carrier rules and changes by participating in carrier specific and MCI education opportunities.

MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:

• High school diploma or GED required.
• One to two years post high school education preferred.
• A minimum of two years current experience with ICDM 9, CPT coding, and health insurance provider rules and regulations required.
• Coding Certification required.
• Knowledge of anatomy and physiology and medical terminology required.
• Proof of completion of Mandatory Reporter abuse training specific to population served within three (3) months of hire.
• Knowledge of physician EM coding desired
• Working knowledge of computer information systems required.
• Demonstrates professional, appropriate, effective and tactful written, verbal, and nonverbal communication with patient, families, medical staff, colleagues, vendors, and other departments throughout the continuum of care to promote continuity of care and services and enhance department image.
• Must be a self-starter and able to work independently and make appropriate decisions within hospital and departmental guidelines with little assistance from Manager.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.