Coder - HIM Revenue Cycle - Remote

ProMedica; Toledo (OH); Remote; USD 35,000 - 67,000; Full time

Job summary

An established industry player is seeking a skilled Coder for their HIM Revenue Cycle team. This remote position involves accurately coding physician office and hospital charges while ensuring compliance with industry standards. The ideal candidate will have experience in coding, a strong grasp of CPT, HCPCS, and ICD10, and the ability to manage a high volume of work efficiently. With a competitive benefits package and a commitment to employee well-being, this role offers a chance to contribute significantly to the healthcare revenue cycle in a supportive environment. If you're passionate about coding and looking for a rewarding opportunity, this position is perfect for you.

Benefits

Medical insurance

Dental insurance

Vision insurance

Company paid life insurance

Paid time off

401k retirement plan

Employee assistance program

Employee discounts

Qualifications

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

Responsibilities

• Accurately code charges within 72 business hours.
• Review claims and documentation for accuracy.
• Provide feedback on billing issues to management.

Skills

CPT knowledge

HCPCS knowledge

ICD10 knowledge

Customer service

Analytical skills

Organizational skills

Problem-solving

Education

High school diploma or equivalent

Tools

Practice Management System

E.H.R

Job description

Coder - HIM Revenue Cycle - Remote - (92951)

Job Title: Coder - HIM Revenue Cycle - Remote

Category: Billing and Receivables

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.

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.
• Certification: CPC, RHIT or RHIA certification required, or must obtain within 90-day probationary period.

ADDITIONAL EXPERIENCE

• Must have broad CPT, HCPCS and ICD10 knowledge.
• Must demonstrate the ability to independently, and accurately, resolve problems.
• Must be able to understand directions, communicate and respond to inquiries: requires a strong commitment to customer service and effective interpersonal skills.
• Must be able to input and retrieve information from a computer.
• Must have the ability to manage large volumes of work, ability to quickly learn and retain information regarding issues that present themselves.
• Must have strong organizational, quantitative, and analytical skills as well as the ability to multi-task.

Preferred experience: 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 - $66,560 per year.

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.