Coder RMG

Riverside Health; Newport News (VA); On-site; USD 31,684 - 41,190; Full time

Benefits offered by this job

Remote work eligibility (select states

Job summary

Riverside Health in Newport News, Virginia, is seeking a Medical Coder to assign ICD-10-CM and CPT codes for claims and ensure accurate reimbursement. The role requires organizing documents, auditing records, and querying clinicians to fix gaps, with a target coding accuracy of 90% or higher.

The ideal candidate holds a high school diploma or GED, has 1 year ICD-1 coding experience, and will need CPC or COC certification upon hire.

Qualifications

• High School Diploma or GED is required.
• 1 year ICD1 Coding (Medical Practice) preferred.
• CPC or COC certification required upon hire.

Responsibilities

• Organizes and prioritizes work to meet deadlines; reviews charts and assigns ICD/CPT codes.
• Audits documentation and queries clinicians to fill gaps for accurate coding.
• Maintains coding accuracy of 90% or better and adheres to billing rules.
• Mentors other coders and supports coding policy development.

Skills

ICD-10-CM coding

CPT coding

Auditing

Documentation accuracy

Education

High School Diploma or GED

Job description

Hiring Range

$23.00 - $29.90/Hourly Actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs.

This position is remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC, OK, SC, SD, TN, VA.

Newport News, Virginia

Overview

Ensures high quality documentation that is thorough, accurate and complete to ensure correct reimbursement capture. Assigns diagnostic and procedure codes to simple record types up to highly complex record types. Contributes to the proper management of health information through consistent and accurate code assignment processes adhering to all regulatory coding principles, rules and regulations.

What You Will Do

• Organizes and prioritizes assigned work to ensure that work is completed within the assigned time frame. Reviews charts and entire medical records, assigning ICD and CPT code combinations to each data element. Audits for documentation opportunities and queries clinical staff to fill in any gaps to clarify confusing, incomplete or conflicting information and obtain any needed additional documentation. Contacts and works with physicians as needed for clarification of details to ensure correct coding.
• Accurately utilizes the ICD-10-CM classification system and CPT classification system in assigning diagnostic, procedural and complication codes to all claims while meeting billing requirements of various payers. Coding accuracy must be maintained at 90% or better.
• Meets productivity per standards set by nationally recognized organization and specialty specific levels.
• Complies with standardized coding standards, conventions and regulations, corporate compliance standards, and reimbursement policies. Participates in specialty specific coding training.
• Maintains positive provider (physician, physician assistant, and nurse practitioner) relationships as observed from provider comments, informal observation of problem-solving with providers and feedback from Administration. Works closely with VP/ Medical Director of RMG. Assists patient financial services with questions on coding and billing edits. Mentors and assists in training of other coders within the department. Participates in the development of coding policies and procedures as identified. Coordinates/mentors the work of designated coding employees to ensure quality and quantity of work performed through regular audits.

Qualifications

Education

• High School Diploma or GED, Minimum (Required)

Experience

• 1 year ICD1 Coding (Medical Practice) (Preferred)

Licenses and Certifications

• Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) Upon Hire (Required) or
• Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC) Upon Hire (Required)