Certified Professional Coder

Ambry Genetics; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a Certified Professional Coder to join their remote team. In this pivotal role, you will ensure accurate coding of claims based on health care provider diagnoses, validating methodologies against state and federal guidelines. You will work collaboratively to maintain high coding standards while engaging in audits and research for coding updates. This dynamic company offers a supportive environment where your contributions will significantly impact healthcare outcomes. Join a team dedicated to advancing genetic understanding and improving health through innovative solutions.

Benefits

401k

medical insurance

dental insurance

vision insurance

paid sick leave

generous paid time off (PTO)

Qualifications

• 1+ years of coding experience in a healthcare environment is required.
• Professional certification as a coder is mandatory.

Responsibilities

• Abstract clinical information to assign ICD and CPT codes accurately.
• Assist in audits and maintain coding compliance with guidelines.

Skills

ICD coding

CPT coding

medical terminology

insurance plans knowledge

anatomy and physiology understanding

Education

Professional Certification as Coder

1+ years of experience in coding

Job description

Compensation: $27.00 - $32.00 per hour. You are eligible for a Short-Term Incentive Plan with the target at 5% of your annual earnings; terms and conditions apply.

Certified Professional Coder - Remote

The Certified Professional Coder is responsible for ensuring that claims reflect accurate diagnosis as ordered by the health care provider. The Certified Professional Coder validates that the coding methodology correctly reflects how the tests were performed and meets all state, federal, local, and payer guidance.

Essential Functions

• Abstract relevant clinical and demographic information from the medical record to assign current ICD and CPT codes in accordance with coding and reimbursement guidelines.
• Identify principal and secondary diagnosis with minimal error.
• Code narratives that are a one-to-one match and identify situations that do not meet the highest level of specificity.
• Request diagnosis from physicians when information is not recorded.
• Assist in pre and post payment audits to perform comprehensive review to assure presence of appropriate documentation.
• Research new CPT/HCPCS codes as well as ICD 10 changes, deletions, or additions to ensure proper coding on claims.
• May be assigned to research for denied claims.
• Maintain and update certification as a professional certified coder.
• Other duties as assigned.

Qualifications

• 1+ years of experience in coding in a health care environment.
• Professional Certification as Coder from a recognized professional organization.
• Knowledge of CPT codes, medical terminology, insurance plans, ICD 10 codes.
• Must have comprehensive knowledge of medical diagnostic and procedural terminology required.
• Understands disease process, anatomy, and physiology necessary for assigning accurate numeric and alpha-numeric codes.

Preferred

• 1+ years of experience in a clinical laboratory preferred, especially genetic billing.

About Us:

Ambry Genetics Corporation is a CAP-accredited and CLIA-licensed molecular genetics laboratory based in Aliso Viejo, California. We are a genetics-based healthcare company that is dedicated to open scientific exchange so we can work together to understand and treat all human disease faster.

At Ambry, everyone is welcome. A career at Ambry Genetics is a chance to be part of a dynamic company that aims to improve health by understanding the relationships between genetics and human disease. We earned our reputation as industry leaders by responsibly introducing cutting-edge genetic testing solutions and continually sharing what we learn with the global scientific community.

At Ambry you will be learning, challenging yourself, and having fun while collaborating with teammates through the open exchange of ideas. Our outstanding benefits program includes 401k, medical, dental, vision, FSA, paid sick leave, and a generous paid time off (PTO) program. Ambry Genetics is an Equal Opportunity Employer (EOE) and we maintain a drug-free work environment.

The Company believes in second chance employment. Qualified applicants with arrest or conviction history will be considered regardless of their arrest or conviction history, consistent with local laws such as Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if the Company is concerned about a conviction that is directly related to the job, you will be given the chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.

Our salary ranges are determined by role, level, and location. The range displayed on each job posting reflects the minimum and maximum target for new hire salaries for the position across all US locations. Within the range, individual pay is determined by work location and additional factors, including job-related skills, experience, and relevant education or training.

All qualified applicants will receive consideration for employment without regard to race (and traits historically associated with race, including, but not limited to hair texture and protective hairstyles such as braids, locks, and twists), color, creed, religion, sex, sexual orientation, gender identity, gender expression (including transgender status), national origin, ancestry, age, marital status or protected veteran status and will not be discriminated against on the basis of disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances. If you have a disability or special need that requires accommodation, please contact us at [e-mail].

Ambry does not accept unsolicited resumes from individual recruiters, third-party recruiting agencies, outside recruiters, or firms without an executed contract in place. We are not responsible for any fees related to resumes that are unsolicited or are received by Ambry. Such resumes will be deemed the sole property of Ambry and will be processed accordingly.