Coder - HIM Revenue Cycle - Full Time - Days - Remote

ProMedica; Toledo (OH); Remote; USD 35,000 - 69,000; Full time

Job summary

An established industry player is seeking a skilled Coder for their HIM Revenue Cycle team. This full-time remote position requires expertise in accurately coding Physician Office and Hospital charges while ensuring compliance with billing regulations. The ideal candidate will possess a high school diploma and relevant coding certifications, with 1-5 years of experience in the field. Join a mission-driven organization that values your contributions and offers a competitive benefits package from day one, including medical, dental, and vision coverage, as well as a 401k retirement plan. If you're passionate about coding and looking for a supportive work environment, this opportunity is perfect for you.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

Paid Time Off

401k Retirement Plan

Employee Assistance Program

Employee Discounts

Qualifications

• 1-5 years of coding experience or coding certification required.
• Must pass internal coding and 10-key tests.

Responsibilities

• Accurately code charges within 72 business hours of receipt.
• Review claims for documentation and correct errors within 48 hours.

Skills

Coding Test

10-Key Test

Surgery Coding

Education

High School Diploma or Equivalent

Tools

Practice Management System

E.H.R

Job description

Coder - HIM Revenue Cycle - Full Time - Days - Remote - (92963)

Job Title: Coder - HIM Revenue Cycle - Full Time - Days - Remote

POSITION SUMMARY

To accurately code all Physician Office and Hospital charges from all departments supported by the Ambulatory CBO while reducing the number of edits and denials to claims. The coding specialist will be responsible to ensure accurate coding for all services including, but not limited to procedures and surgeries. Responsible for ensuring quality and compliance as it relates to coding and insurance industry practices. Responsibilities will range from limited surgical involvement to major surgical involvement.

ACCOUNTABILITIES

1. Accurately code charges for input into the Practice Management System within 72 business hours of receipt.
2. Identify incomplete routers and return them to the provider for completed coding.
3. Reviews all claim edits related to charge entry requirements and corrects the error(s) within 48 business hours.
4. Reviews claims for required documentation attachments and retrieves the information from the E.H.R or requests copies from the provider.
5. Utilizes online services for patient eligibility review, claim status, prior authorizations, and payor requirements.
6. Knows and follows all billing regulations and corporate compliance plans.
7. Performs accurate charge entry if indicated and/or works in conjunction with charge entry staff to assure accurate charge entry.
8. Provide feedback to management on issues that impede timeliness or quality of billing and work with management to resolve.
9. Maintains current payor knowledge for effective claims management and follow up of unresolved claims.
10. Routinely reviews workflows for process improvement and efficiencies and provides feedback to management for implementation of changes.
11. Independently reviews assigned workloads and completion to ensure goals are being met.
12. Acts as a resource for staff.
13. Assist management with training new staff.
14. Perform other duties as assigned.

REQUIRED QUALIFICATIONS

• Education: Must have a high school diploma or equivalent.
• Skills: Must be able to pass internal coding test and 10-key test.
• Years of Experience: One (1) to five (5) years of previous coding experience or coding certification.
• Certification: CPC, RHIT or RHIA certification required, or must obtain within 90-day probationary period.

Preferred experienced: surgery coding

We offer a competitive benefits package with coverage effective day one of employment which includes medical, dental, vision, company paid life insurance, paid time off, a 401k retirement plan, an employee assistance program and other voluntary coverage options and employee discounts.

Salary Range: $35,360 - $68,536

The above list of accountabilities is intended to describe the general nature and level of work performed by the incumbent; it should not be considered exhaustive.

ProMedica is a mission-based, not-for-profit integrated healthcare organization headquartered in Toledo, Ohio. For more information, please visit www.promedica.org/about-promedica.

Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact [e-mail].

Equal Opportunity Employer/Drug-Free Workplace