Medical Coder

Talentify; Portland (OR); Remote; USD 59,000 - 89,000; Full time

Job summary

Talentify is seeking a Medical Coder for a 13-week remote assignment in the PST time zone. You will review documentation to support CPT and ICD-10-CM billing for professional and facility services, focusing on anesthesia Pro fee billing and Medicare/Medicaid compliance.

Qualifications include recent anesthesia coding experience, CPT/ICD-10-CM knowledge, and strong communication skills. Certification (CPC/AHIMA) is preferred, with hospital coding experience a plus.

Qualifications

• Recent anesthesia coding experience required.
• Four years of hospital or professional services coding experience OR completion of Medical Records Coding course.
• Knowledge of CPT, ICD-10-CM, HCPCS and billing laws/regulations.
• Proficiency with word processing and Excel spreadsheets.
• Excellent verbal and written communication skills across levels.
• Two years’ experience coding professional Medicare Part B services preferred.

Responsibilities

• Review documentation to ensure CPT/ICD-10-CM accuracy and appropriate levels of service.
• Assign levels of service and ensure compliance with Medicare/Medicaid guidelines.
• Provide physician education on billing changes or regulatory updates.
• Support anesthesia Pro fee billing and related payer issues as assigned.

Skills

Anesthesia coding

ICD-10-CM / CPT coding

Excel

Communication skills

Education

Associate degree or medical coding certification

RHIA/RHIT/CPC preferred

Tools

Microsoft Word

Excel spreadsheets

Job description

Title: Medical Coder

Duration: 13 Weeks

Location: 100% Remote – PST Time Zone

Job description

This position provides support to the Department for billing of physician’s fees (Medicare Part B) and Facility fees (Medicare Part A). This position is responsible for reviewing documentation to make sure the documentation supports the levels or types of service billed and/or assign level of service based on documentation. Ensure the documentation is in compliance with Medicare/Medicaid billing regulations and documentation guidelines, CPT documentation guidelines, and PATH rules. Responsible for meeting performance standards set for accurate and timely submission of charges for professional and facility services rendered at . Provide technical expertise regarding a broad range of third party payer and reimbursement issues. Potential to provide physician education on billing and coding practices and advise physicians of coding changes or changes in regulations. Coding assignment will vary based on assignment and need. Focus on Anesthesia Pro fee billing.

Requirements

Qualifications

• High school diploma or GED - Required
• Recent anesthesia coding experience - Required.
• Accredited Coding Program Training and associate degree in applicable field - Preferred
• Four years of hospital or professional services (dependent on job) experience reviewing, abstracting, and coding medical records using ICD-10-CM and CPT coding; OR Completion of Medical Records Coding course through an accredited college or university OR an equivalent combination of experience and training. – Required
• Two years’ experience coding professional (Medicare Part B) services of physicians – Preferred
• Knowledge of CPT, ICD-10-CM, HCPCS, Federal Register, Federal and State insurance billing laws and Mandates.
• Formal Medical Terminology (either prior to or upon employment).
• Proficiency with word processing and Excel spreadsheets.
• Excellent verbal and written communication skills with the ability to effectively communicate with individuals at all levels, physicians, nurses, administrative management, etc.
• Ability to work as a team player in a close proximity environment.
• Some college course work or education in classes related to anatomy/physiology, CPT and ICD-10-CM coding - Preferred.
• Two years’ experience coding the professional (Medicare Part B) services of physicians - Preferred.

Required Certifications/Licenses

• Certification in one of the following (as indicated by the position description) Coding certification from AAPC or AHIMA: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA). Active AHIMA membership may be required for some positions. Certified Professional Coder (CPC) through the American Academy of Professional Coders; OR equivalent certification
• Certified Professional Coder (CPC) – Preferred