Certified Coder RMG

Riverside Health; Newport News, Northern (VA, KY); On-site; USD 32,000 - 41,000; Full time

Job summary

Riverside Health in Newport News, Virginia, is seeking a qualified Medical Coder to ensure accurate reimbursement by assigning ICD-10-CM and CPT codes to medical records.

The role emphasizes chart reviews, data element coding, documentation audits, and collaboration with physicians and the Patient Financial Services team.

Remote work eligibility is available for candidates in specified states; strong accuracy and adherence to coding standards are required.

Qualifications

• High School Diploma or GED required.
• 1 year ICD-10-CM coding experience in a medical practice.
• CPC or COC certification upon hire required.

Responsibilities

• Organizes and prioritizes assigned work to meet deadlines.
• Reviews charts and assigns ICD and CPT code combinations.
• Audits for documentation opportunities and queries clinicians to fill gaps.
• Contacts physicians for clarification to ensure correct coding.
• Utilizes ICD-10-CM and CPT coding systems to code claims accurately.

Skills

ICD-10-CM coding

CPT coding

Coding accuracy 90%

Education

CPC – AAPC

COC – AAPC

Job description

Newport News, Virginia Hiring Range $23.00 - $29.90/Hourly. Actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs.

This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, SC, SD, TN, VA.

Overview

Ensures high quality documentation that is thorough, accurate and complete to ensure correct reimbursement capture. Assigns diagnostic and procedure codes to simple record types up to highly complex record types. Contributes to the proper management of health information through consistent and accurate code assignment processes adhering to all regulatory coding principles, rules and regulations.

What you will do

• Organizes and prioritizes assigned work to ensure that work is completed within the assigned time frame.
• Reviews charts and entire medical records, assigning ICD and CPT code combinations to each data element.
• Audits for documentation opportunities and queries clinical staff to fill in any gaps to clarify confusing, incomplete or conflicting information and obtain any needed additional documentation.
• Contacts and works with physicians as needed for clarification of details to ensure correct coding.
• Accurately utilizes the ICD-10-CM classification system and CPT classification system in assigning diagnostic, procedural and complication codes to all claims while meeting billing requirements of various payers.
• Coding accuracy must be maintained at 90% or better.
• Meets productivity per standards set by nationally recognized organization and specialty specific levels.
• Complies with standardized coding standards, conventions and regulations, corporate compliance standards, and reimbursement policies.
• Participates in specialty specific coding training.
• Maintains positive provider (physician, physician assistant, and nurse practitioner) relationships as observed from provider comments, informal observation of problem-solving with providers and feedback from Administration.
• Works closely with VP/ Medical Director of RMG.
• Assists patient financial services with questions on coding and billing edits.
• Mentors and assists in training of other coders within the department.
• Participates in the development of coding policies and procedures as identified.
• Coordinates/mentors the work of designated coding employees to ensure quality and quantity of work performed through regular audits.

Qualifications

• Education: High School Diploma or GED.
• Minimum (Required) Experience: 1 year ICD1 Coding (Medical Practice).
• Preferred: OBGYN coding experience.
• Licenses and Certifications: Certified Professional Coder (CPC) – American Academy of Professional Coders (AAPC) Upon Hire (Required) or Certified Outpatient Coder (COC) – American Academy of Professional Coders (AAPC) Upon Hire (Required).

Why join us

If loving your work is important to you, consider a career at Riverside. By joining our team, you can make a difference in people's lives. Our mission is to care for others as we would care for those we love. We extend that sense of caring to every patient, resident and customer, as well as to each member of our team. We offer care at all stages of life, in hundreds of locations, giving you room to grow your career, along with great benefits and perks. At Riverside Health, your trust and safety are our top priorities.