Certified Medical Coder (CPC)

CredSpun LLC; United States; Remote; USD 60.000 - 80.000; Vollzeit

Zusammenfassung

CredSpun LLC is seeking a Certified Medical Coder (CPC) for remote outpatient coding. You will code outpatient encounters, query providers when notes are incomplete, and help practices avoid denials by ensuring codes are supported by documentation.

You will code for various outpatient practices and collaborate with billers when payer questions arise, staying current with CPT/ICD-10-CM updates and payer policies.

Qualifikationen

• Active coding credential: CPC, COC, CCS or CCS-P.
• Two or more years of outpatient or professional-fee coding.
• Strong E/M coding under the current guidelines.
• Working knowledge of NCCI edits, LCDs/NCDs and medical necessity.
• Comfort working in several EHRs and switching between practices in a day.

Aufgaben

• Assign CPT, HCPCS Level II and ICD-10-CM codes from provider documentation.
• Select E/M levels using the 2021+ office visit guidelines (medical decision making or total time).
• Apply modifiers correctly and check claims against NCCI edits and MUEs.
• Code psychiatric and psychotherapy services, including add-on codes.
• Send clear, compliant queries to providers when documentation is incomplete.
• Review coding-related denials and recommend corrections or appeals.
• Run periodic internal audits on a sample of encounters and share findings with the account lead.
• Keep up with annual CPT and ICD-10-CM updates and payer-specific policies.

Kenntnisse

CPC

COC

CCS

CCS-P

Tools

EHR systems

Jobbeschreibung

Certified Medical Coder (CPC) — Remote Outpatient Coding

Code outpatient encounters from the documentation, query providers when the note doesn't support the code, and help practices stop coding denials before they start.

Most coding denials are not exotic. They come from E/M levels the note doesn't support, missing or misapplied modifiers, diagnosis codes that don't establish medical necessity, and add-on codes billed without the documentation they need. As a certified medical coder at CredSpun, you review outpatient encounters before charges go out so those claims are right the first time.

You will code for several outpatient practices — primary care, psychiatry, behavioral health, nurse practitioners and pediatrics most often — and you will be the person billers and account leads turn to when a payer questions a code.

What you will do

• Assign CPT, HCPCS Level II and ICD-10-CM codes from provider documentation
• Select E/M levels using the 2021+ office visit guidelines (medical decision making or total time)
• Apply modifiers correctly and check claims against NCCI procedure-to-procedure edits and MUEs
• Code psychiatric and psychotherapy services, including interactive complexity and psychotherapy add-on codes
• Send clear, compliant queries to providers when documentation is incomplete
• Review coding-related denials and recommend corrections or appeals
• Run periodic internal audits on a sample of encounters and share findings with the account lead
• Keep up with annual CPT and ICD-10-CM updates and payer-specific policies

What you need

• An active coding credential: CPC, COC, CCS or CCS-P
• Two or more years of outpatient or professional-fee coding
• Strong E/M coding under the current guidelines
• Working knowledge of NCCI edits, LCDs/NCDs and medical necessity
• Comfort working in several EHRs and switching between practices in a day

Helpful, not required

A specialty credential (for example CEMC or a behavioral health coding background), experience coding telehealth with place-of-service and modifier rules, and auditing experience.

Which coding certifications do you accept?

CPC, COC, CCS and CCS-P. Apprentice (CPC-A) coders are welcome to apply for future openings through the general application.

Is this inpatient or outpatient coding?

Outpatient and professional-fee coding for physician, nurse practitioner and behavioral health practices.