Certified Coder (Remote) - Department of Medicine - Business Office - Appeals

Washington University in St. Louis; United States; Remote; USD 36,000 - 54,000; Full time

Benefits offered by this job

Competitive health insurance packages

Metro transit U-Pass

Tuition assistance

Caregiver leave

Job summary

Washington University in St. Louis is seeking a Medical Coding Review Position to evaluate medical record documentation and assign appropriate CPT and ICD-10 codes.

You will review records, ensure comprehensive documentation, and collaborate with physicians to secure signatures and resolve unsigned dates of service. The role requires coding credentials (AHIMA or AAPC) and knowledge of ICD-10 and CPT coding.

Qualifications

• Must have one of the following coding credentials: AHIMA (CCA, CCS, or CCS-P); AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or a specialty credential).

Responsibilities

• Review documentation to identify facts necessary to select diagnoses and procedures.
• Code evaluation and management to CPT; assign ICD-10 codes.
• Meet with physicians to review documentation and secure signatures for unsigned dates of service.
• Assist coders with terminology and policy interpretation as needed.
• Help increase physician awareness of documentation requirements.
• Prepare case reports and initiate follow-up for billing.

Education

AHIMA/AAPC coding credentials (CCA/CCS/CCS-P or CPC etc.)

Job description

Medical Coding Review Position

Position reviews medical record documentation to determine appropriate billing codes and necessary documentation.

Primary Duties & Responsibilities:

• Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment.
• Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-10 code.
• Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up.
• Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required.
• Assists with efforts to increase physician awareness of documentation requirements.
• Prepares case reports and initiates follow-up for billing process.

Working Conditions: Job Location/Working Conditions:

• Normal office environment.

Physical Effort:

• Typically sitting at desk or table.

Equipment:

• Office equipment.

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.

Required Qualifications:

• Must have one of the following coding credentials: AHIMA (CCA, CCS, or CCS-P); AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or one of the AAPC specialty-specific coding credentials (the specialty-specific credential is only valid for that employee's department).

Preferred Qualifications:

• Previous coding experience or experience equivalent to an associate's degree in a related field.
• Knowledge of ICD-10 and CPT coding.

Salary Range: $26.25 - $39.36 / Hourly

For frequently asked questions about the application process, please refer to our External Applicant FAQ.

All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.

Personal:

• Up to 22 days of vacation, 10 recognized holidays, and sick time.
• Competitive health insurance packages with priority appointments and lower copays/coinsurance.
• Take advantage of our free Metro transit U-Pass for eligible employees.
• WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.

Wellness:

• Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!

Family:

• We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We've got you covered.
• WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.

For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/

EEO Statement: Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University's policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity or shared ancestry, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information. As a federal contractor, the university maintains affirmative action programs to implement its equal employment opportunity policy for individuals with disabilities and protected veterans, in accordance with Section 503 of the Rehabilitation Act of 1973, as amended, and the Vietnam Era Veterans' Readjustment Assistance Act of 1974 (VEVRAA), as amended.