Auditor Coding Specialist Remote

MercyOne Medical Group; Des Moines (IA); Remote; USD 60,000 - 75,000; Full time

Job summary

MercyOne Medical Group is seeking a remote Medical Coder for full-time 80 hours biweekly, with day shifts. The role requires current ICD-9 and CPT coding experience, coding certification, and knowledge of health insurance provider rules.

The candidate must be able to work independently and stay updated on carrier rules. Responsibilities include coding and abstracting patient records for professional billing, reviewing records for accurate diagnoses, and assisting with coding questions from

Qualifications

• High school diploma or GED required.
• 1–2 years post high school education preferred.
• Two years current experience with ICD-9, CPT coding, and health insurance provider rules required.
• Coding Certification required.
• Knowledge of anatomy, physiology and medical terminology essential.
• Mandatory Reporter abuse training within 3 months of hire.
• Knowledge of physician EM coding desired.
• Proficiency with computer information systems required.
• Strong written, verbal and nonverbal communication to support care continuity.
• Ability to work independently within hospital guidelines.

Responsibilities

• Code and abstract patients’ records for professional billing.
• Review records for accurate diagnoses and procedures for reimbursement.
• Assist billers with coding questions and requests.
• Serve as a resource for difficult coding questions and denials correction.
• Suggest process improvements for registration and charge posting.
• Adhere to federal, state, and insurance regulations; follow hospital policies.
• Stay updated on carrier rules and MCI education opportunities.

Skills

ICD-9 / CPT coding

Medical terminology

Communication skills

Independent work

Mandatory Reporter training

Education

High school diploma or GED

1–2 years post secondary education

Coding Certification

Tools

Computer 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.