Certified Coder (Remote) - Neurology Appeals

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

Benefits offered by this job

Vacation & holidays

Health insurance

Metro U-Pass

Retirement plan

Job summary

Washington University in St. Louis is seeking a remote Medical Coding Specialist responsible for advanced coding, payer appeal tasks, and timely filing of insurance appeals. You will review records to select CPT and ICD-10 codes, collaborate with physicians, and lead coding support for the billing team.

Some campus contact may be required. The role emphasizes adherence to coding standards, certifications, and ongoing education to support accurate reimbursements.

Qualifications

• Required certifications: AHIMA (CCA/CCS/CCS-P) or AAPC (CPC/CPC-A/CPC-H/CPC-H-A or specialty credentials).
• No prior work experience required for this position.
• Associate degree in Medical Coding & Billing is preferred; high school diploma acceptable with education/experience mix.

Responsibilities

• Review documentation to identify facts needed to code diagnoses and procedures.
• Code evaluation and management to CPT and diagnoses to ICD-10.
• Meet with physicians to review documentation and obtain signatures; manage follow-ups.
• Lead coders and assist with terminology and policy interpretation.
• Assist with physician documentation awareness and education.
• Prepare case reports and initiate billing follow-up.
• Perform other duties as assigned.

Skills

Medical coding

CPT coding

ICD-10

Medical Terminology

Education

Associate degree - Medical Coding & Billing

High school diploma

Tools

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.

Job Description

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.

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

Education

High school diploma or equivalent high school certification or combination of education and/or experience.

Certifications / Professional Licenses

The list below may include all acceptable certifications, professional licenses and issuers. More than one credential, certification or professional license may be required depending on the role.

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.

More About This Job

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.
• Associate degree - medical coding & billing

Preferred Qualifications

Education

Associate degree - Medical Coding & Billing

Certifications / Professional Licenses

No additional certification/professional licenses unless stated elsewhere in the job posting.

Work Experience

No additional work experience unless stated elsewhere in the job posting.

Skills

Computer Systems, ICD-10 Procedure Coding System, Medical Billing and Coding, Medical Terminology

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.

Questions

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

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.

All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.

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.