Coder I - MPG - FT - Days - MSS - Remote Eligible

Memorial Healthcare System; Miramar (FL); Remote; USD 45,000 - 60,000; Full time

Job summary

A leading healthcare provider is looking for a Coder I to review medical records and assign codes for compliance and billing. The role requires effective communication with insurance companies and collaboration with various departments to ensure data accuracy. Ideal candidates will have a high school diploma, relevant certifications, and at least one year of coding experience in a hospital or outpatient setting.

Qualifications

• 1 year hospital outpatient coding or diagnostic/procedural office coding with surgical experience.

Responsibilities

• Communicates with insurance companies regarding coding errors and disputes.
• Ensures accuracy of patient data by collaborating with departments.
• Submits productivity reports and maintains coding standards.

Skills

Accountability

Accuracy

Effective Communication

Teamwork

Education

High School Diploma or Equivalent

Certifications (CCA, CCS, RHIA, RHIT, CPC, CPMA, CRC, CCS-P)

Job description

Join to apply for the Coder I - MPG - FT - Days - MSS - Remote Eligible role at Memorial Healthcare System

Location: Miramar, Florida

At Memorial, we are dedicated to improving the health, well-being, and quality of life for those entrusted to our care. Our unwavering commitment to our service vision is the foundation of The Memorial Experience.

Summary

Reviews medical record documentation and assigns codes to diagnoses, procedures, and modifiers to ensure proper billing and compliance.

Responsibilities

• Communicates with insurance companies regarding coding errors and disputes.
• Abstracts data for billing and quality reviews.
• Ensures accuracy of patient data by collaborating with departments.
• Submits productivity reports and maintains coding standards.
• Participates in educational meetings to maintain certifications.
• Reviews and codes medical records, including outpatient encounters.
• Enhances coding knowledge and reviews work queues for corrections.
• Collaborates with billing departments to ensure accurate billing.
• Validates data accuracy in admission and discharge fields.
• May assign CPT codes and review APC and EAPG assignments.
• Conducts audits and reviews with healthcare professionals.

Competencies

Accountability, Accuracy, Analysis and Decision Making, Customer Service, Effective Communication, HIM Systems, Medical Terminology, Productivity, Responding to Change, Teamwork.

Education and Certification Requirements

High School Diploma or Equivalent. Certifications such as CCA, CCS, RHIA, RHIT, CPC, CPMA, CRC, or CCS-P are required depending on the role.

Additional Job Information

Requires critical thinking, effective communication, decisive judgment, and the ability to work independently. Must be proficient in computer skills and medical terminology. Experience: 1 year hospital outpatient coding or diagnostic/procedural office coding with surgical experience.

Working Conditions and Physical Requirements

Includes bending, stooping, keyboard entry, reaching, sitting, standing, walking, and other physical activities as detailed.

Shift

Primarily office-based, not eligible for shift differential.

Disclaimer

This description is not exhaustive. Employment is contingent upon post-offer assessments, including drug testing. Memorial Healthcare System is an equal opportunity employer and offers accommodations during the application process.