Certified Coder (Remote) - Neurology Appeals

CP00001 Washington University in St Louis; Missouri; Hybrid; USD 36,000 - 54,000; Full time

Benefits offered by this job

Health insurance

Vacation & holidays

Transit assistance

Tuition benefits

Caregiver leave

Job summary

Washington University in St. Louis is seeking a remote medical coder to perform advanced coding and appeal activities. You will review records, code to CPT and ICD-10, and coordinate with physicians on documentation and signatures.

The role involves leading coding efforts and educating staff on documentation standards. Required credentials include AHIMA or AAPC certifications, with no specific work experience required.

Qualifications

• High school diploma or equivalent required.
• Preferred: Associate degree in medical coding & billing or related field.
• Knowledge of ICD-10 and CPT coding.

Responsibilities

• Review medical records to select appropriate diagnoses and procedures.
• Code evaluation and management to CPT, ICD-10 coding where applicable.
• Meet with physicians to review documentation and secure signatures.
• Lead coders and staff with medical terminology and policy interpretation.
• Assist in increasing physician awareness of documentation requirements.
• Prepare case reports and initiate follow-up for billing.

Education

High school diploma or equivalent

Associate degree in medical coding & billing or related field

Job description

Location Remote, US

Scheduled Hours 40

Position Summary Performs advanced coding and appeal activities; investigates payer issues; responsible for timely filing of appeals to insurance companies; handles charge corrections. Reviews medical record documentation to determine appropriate billing codes and necessary documentation. This a remote position but can be called to campus on occasion, if necessary.

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.
• Performs other duties as assigned.

Working Conditions:

Job Location/Working Conditions: Normal office environment.

Physical Effort: Typically sitting at desk or table.

Equipment: Office equipment.

Required Qualifications Education: High school diploma or equivalent high school certification or combination of education and/or experience.

Certifications/Professional Licenses

• Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA)
• Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA)
• Certified Coding Specialist - Physican based (CCS-P) - American Health Information Management Association (AHIMA)
• Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC)
• Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC)
• Certified Professional Coder - Hospital (CPC-H) - American Academy of Professional Coders (AAPC)
• Certified Professional Coder - Hospital Apprentice (CPC-H-A) - American Academy of Professional Coders (AAPC)
• Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA)
• Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA)

Work Experience: No specific work experience is required for this position.

Skills: Not Applicable

Driver's License: A driver's license is not required for this position.

Preferred Qualifications: Previous coding experience or experience equivalent to an associate’s degree in a related field. Knowledge of ICD-10 and CPT coding. Associate degree - medical coding & billing

Grade C10-H Salary Range $26.25 - $39.36 / Hourly The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.

Accommodation If you are unable to use our online application system and would like an accommodation, please email [e-mail] or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.

Pre-Employment Screening 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.

Benefits Statement

• 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.

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