Full Time Profee & Facility Ophthalmology Medical Coder Remote

AQuity Solutions; Doylestown (Bucks County); Remote; USD 39,000 - 44,000; Full time

Job summary

IKS Health is hiring a Full Time Profee & Facility Ophthalmology Medical Coder. Responsibilities include coding and abstracting ophthalmology records using ICD-10-CM, CPS, and CPT, ensuring correct DRG assignment, and maintaining coding credentials.

Remote work environment with ongoing education and team collaboration. The ideal candidate has 3+ years of related coding experience, CPC/COC/CIC/CCA/CCS/CCS-P or RHIT/RHIA credentials, and strong proficiency in Epic, 3M, and CPT guidelines.

Qualifications

• Certification bundle CPC, COC, CIC, CCA, CCS, CCS-P, RHIT or RHIA required.
• Excellent verbal and written communication skills.
• Minimum 3 years of related coding experience.
• Ability to code Clinic E&M and CPTs.
• Experience coding both Profee-PB and Facility -HB, Ophthalmology charts.
• Epic and 3M/360 experience preferred.
• Strong knowledge of ICD-10-CM, CPS and CPT coding guidelines and regulations.
• Must pass coding proficiency test and maintain credentials.

Responsibilities

• Provide coding and abstracting for physician and facility records using ICD-10-CM, CPS, and CPT.
• Assign diagnoses and procedures after review of medical records.
• Review records to identify pertinent diagnoses and procedures.
• Determine principal diagnosis, principal procedure, and other items per UHDDS.
• Ensure accurate DRG assignment and real-time chart entry during shifts.
• Clarify documentation with physicians as needed using client guidelines.
• Participate in team meetings and training; share knowledge with peers.
• Maintain current knowledge of Coding Clinic, CPT Assistant, and Official Guidelines.

Skills

Excellent communication

Interpersonal communication

Attention to detail

Coding proficiency

Education

CPC

COC

CIC

CCA

CCS

CCS-P

RHIT or RHIA

Epic & 3M, 360 experience

Tools

EPIC

3M/360

Microsoft Office

Job description

Full Time Profee & Facility Ophthalmology Medical Coder

IKS Health is seeking to hire a Full Time Profee & Facility Ophthalmology Medical Coder. IKS Health takes on the chores of healthcare, reducing administrative, clinical, and operational burdens so that staff can focus on their core purpose: delivering exceptional care. Combining pragmatic technology and dedicated experts, IKS enables stronger, financially sustainable enterprises. Our Care Enablement Platform delivers data-driven value and expertise across the care journey, and IKS is a partner for clinician enterprises looking to effectively scale, improve quality, and achieve cost savings through forward-thinking solutions.

Founded in 2006, IKS Health's global workforce supports large health systems across the United States. IKS Health is transforming the way provider organizations manage the administrative and clinical complexities of care delivery. Our Care Enablement Platform blends advanced AI-powered automation with deep human expertise to relieve administrative burdens, improve clinical workflows, and drive financial sustainability; so clinicians can get back to what they do best.

Essential Job Responsibilities:

• Providing coding and abstracting services for clients on physician and facility medical records using ICD 10-CM, CPS, and CPT coding systems.
• Using established coding principles, software, and your knowledge and experience to assign diagnostic and procedural codes after a thorough review of the medical record.
• Participating in industry forums and support coding education within the team.
• Reviews medical records to identify pertinent diagnoses and procedures relative to the patient's health care encounter.
• Selects the principal diagnosis and principal procedure, along with other diagnoses and procedures using UHDDS definition.
• Ensures appropriate DRG assignment.
• Abstracts appropriate information from the medical record based on the guidelines provided by the client and after a thorough review of the medical record.
• Consistently meet productivity and quality performance requirements.
• Responsible for utilizing applications to enter charts coded in real-time throughout the scheduled shift.
• Solicits clarification from the physician regarding ambiguous or conflicting documentation in the medical record using guidelines provided by the client.
• Participate in team meetings and all training required by IKS staff or client.
• May be asked to participate in training or shadowing of other coders.
• Flexibility in assignment over multiple clients to ensure meeting required classification hours.
• Participate in Coding Roundtables through presentation of materials, articles and current issues related to coding and Health Information Management.
• Maintains current knowledge of the information contained in the Coding Clinic, CPT Assistant, and the Official Guidelines for Coding and Reporting.
• Participates in education modules as assigned.
• Responsible for keeping coding credentials up to date and active.
• Maintains effective and professional communication skills.
• Contributes to a positive company image by exhibiting professionalism, adaptability, and mutual respect.

Certifications- Credential Requirement:

CPC,COC,CIC,CCA,CCS,CCS-P,RHIT or RHIA Excellent verbal and written communication skills. Must have a minimum of 3 years or more of related coding experience. Must be able to code Clinic E&M and CPTs. Experience coding both Profee-PB and Facility -HB, Ophthalmology charts. Epic with 3M, 360 experience required Understands medical terminology, anatomy, physiology, surgical technology, pharmacology, and disease processes. Extensive knowledge of ICD-10-CM and CPS and CPT coding principles and guidelines, reimbursement systems, federal, state, and payor-specific regulations and policies pertaining to documentation, coding, and billing. Must pass a coding proficiency test. Knowledge / Skills Requires strong interpersonal communication skills, both verbal and written Requires a high level of coding accuracy and attention to detail Excellent oral and written communication skills must be detailed and articulate Strong knowledge of Microsoft Word, Excel, PowerPoint, and Outlook is required.

Working Conditions:

Remote working environment; Extended periods of computer-based work.

Physical Demands:

Prolonged computer screen usage, keyboarding. Long periods of sitting commensurate with computer-based work and work-related phone calls

Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities.

Compensation and Benefits:

The pay range for this position is $28hr-$32hr. Pay is based on several factors including but not limited to current market conditions, location, education, work experience, certifications, etc. IKS Health offers a competitive benefits package including healthcare, 401k, and paid time off (all benefits are subject to eligibility requirements for full-time employees). IKS Health is an equal opportunity employer and does not discriminate based on race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.