Charge Corrections Medical Coder

Dovel Technologies, Inc; United States; Hybrid; USD 38,000 - 64,000; Full time

Benefits offered by this job

Medical Insurance

401(k) Retirement Plan

Parental Leave

Tuition Reimbursement

Job summary

Dovel Technologies, Inc. seeks a Charge Corrections Medical Coder to review inpatient and outpatient coding (ICD-10, CPT, HCPCS) for accuracy, ensure compliance with LCD/NCD criteria, and report changes to collections teams.

After a 3–6 month onsite training, the position becomes hybrid with approximately 90% remote work. Requires HS diploma, 1+ year medical coding experience and CPC/CPC-A certification.

Qualifications

• 1+ years of medical coding experience.
• Experience in ICD-10, CPT and HCPCS Level II Coding.
• Knowledge of Medicare, Medicaid, and third-party payer HCFA-1500 billing requirements. (CCI, MUE, Medical Necessity edits)

Responsibilities

• Review inpatient and outpatient coding requests for accuracy and corrections.
• Apply LCD/NCD criteria and insurance billing guidelines.
• Report changes to collections teams and file replacement claims as needed.

Skills

ICD-10 Coding

CPT Coding

HCPCS Coding

MS Excel

Medical Necessity

Medical Billing Rules

Education

High School Diploma/GED

AAPC CPC or CPC-A

Tools

MS Excel

Job description

## Charge Corrections Medical CoderApplylocations: US - Remote (Any location)time type: Full timeposted on: Posted Todayjob requisition id: 41978**Job Family:**General Coding**Travel Required:**None**Clearance Required:**None**What You Will Do:**Review multi-specialty inpatient and outpatient and clinical Charge Correction requests for ICD-10, CPT and HCPCS coding for accuracy and make necessary corrections. Review LCD and NCD criteria and insurance billing guidelines. Report any changes as necessary to collections teams. Electronically file replacement claims and some payment posting as needed. M-F onsite training for approx. 3-6 months. After training hybrid with 90% being remote/working from home.**What You Will Need:*** High School Diploma/GED *(relevant experience may be substituted for formal education)** 1+ years of medical coding experience* AAPC CPC or CPC-A coding certification* Experience in ICD-10, CPT and HCPCS Level II Coding* Ability to determine medical necessity of services provided and charged based on provider/clinical documentation* Knowledge, understanding and proper application of Medicare, Medicaid, and third-party payer HCFA-1500 billing and reporting requirements including resolution of CCI, MUE and Medical Necessity edits applied to claims* Ability to determine accurate medical codes for diagnoses, procedures and services performed in the emergency department, inpatient and outpatient settings. For example: emergency department visits, outpatient clinic visits, same day surgeries, diagnostic testing (radiology, imaging, and laboratory), and outpatient therapies (physical therapy, occupational therapy, speech therapy, and chemotherapy.)* Knowledge of current code bundling rules and regulations along with ability on issues of compliance, and reimbursement under outpatient grouping systems such as Medicare OPPS and Medicaid or Commercial Insurance EAPG’s* Ability to use MS Excel**What Would Be Nice To Have:*** 5 years’ experience in Revenue Integrity Coding and Billing* Knowledge and understanding of physician charge description master coding systems and structures.* Physician medical billing and auditing experience#LI-DNIThe annual salary range for this position is $38,000.00-$64,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.**What We Offer:**Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.Benefits include:* Medical, Rx, Dental & Vision Insurance* Personal and Family Sick Time & Company Paid Holidays* Position may be eligible for a discretionary variable incentive bonus* Parental Leave* 401(k) Retirement Plan* Basic Life & Supplemental Life* Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts* Short-Term & Long-Term Disability* Tuition Reimbursement, Personal Development & Learning Opportunities* Skills Development & Certifications* Employee Referral Program* Corporate Sponsored Events & Community Outreach* Emergency Back-Up Childcare Program