Medical Coder

Cencora | Pharma solutions; United States; Remote; USD 10,000 - 60,000; Full time

Job summary

Cencora Pharma Solutions is seeking a Medical Coder to join their team in a remote capacity. This full-time position involves ensuring the correct assignment of medical codes in compliance with various guidelines, reviewing patient records, and reporting coding trends. Candidates should have a minimum of 2 years of experience in medical billing and coding, along with required certifications and knowledge of relevant coding systems.

Qualifications

• 2 years experience in medical billing and coding.
• Knowledge of coding systems including ICD-10, CPT, and HCPCS required.
• Certified Medical Coder preferred.

Responsibilities

• Assign medical codes based on government and insurance regulations.
• Review patient medical records for accuracy of billed charges.
• Track and report coding trends to management.

Skills

Attention to detail

Knowledge of medical terminology

Verbal communication

Written communication

Education

Certified Medical Coder

College degree preferred

Tools

ICD-10

CPT

HCPCS

Job description

Medical Coder

About Kindbody

is the leading fertility clinic network and global family-building benefits provider for employers, offering the full spectrum of reproductive care from preconception to postpartum through menopause. Kindbody is the trusted fertility benefits provider for 132 leading employers, covering almost 2.9 million lives. As the fertility benefits provider, technology platform, and direct provider of care, Kindbody delivers a seamless, integrated experience with superior health outcomes at lower cost, making fertility care more affordable and accessible for all. Kindbody has raised $315 million in debt and equity funding from leading investors, including Perceptive Advisors, JP Morgan Chase’s Morgan Health, GV (formerly Google Ventures), RRE Ventures, Claritas Health Ventures, Rock Springs Capital, Distributed Ventures, Whatif Ventures and TQ Ventures. Visit www.kindbody.com. and follow us on , , and .

Kindbody’s clinically managed program covers the full spectrum of reproductive health, including both female and male fertility, which encompasses fertility assessments and education, fertility preservation, genetic testing, in vitro fertilization (IVF), donor and surrogacy services, and adoption, as well as a full continuum of reproductive care including physical, mental, and emotional support.

About the Role

You will be working in a fast-paced, rapidly growing environment where you will be relied on for your expertise, professionalism, and collaboration. The Medical Coder researches and analyzes data needs for claim submission and reimbursement, ensuring appropriate coding on all claim submissions based on ASRM, AMA, CMS, and individual payer regulations and guidelines. This role is a full-time position.

Responsibilities

• Ensure that medical codes are assigned correctly and sequenced appropriately as per government and insurance regulations
• Comply with medical coding guidelines and policies
• Review patient medical records for verification and accuracy of billed charges
• Follow-up and clarify any information that is not clear within the medical document to ensure appropriate coding
• Track, trend, and report high volume coding items discovered to Coding Manager on weekly basis or more frequently, if requested, (if area of concern impacts a large volume of patient accounts or is a compliance concern, alerts leadership immediately upon discovery)
• Responsible for monthly reporting of all identified coding related trends and deficiencies on assigned market scheduled call
• Reviews coding requests from internal and external teams to determine if coding updates are needed based on supporting medical documentation, making necessary corrections as needed
• Reviews coding related denials from insurance companies to determine if claim submission coding is appropriate, making claim corrections if appropriate, or if initial coding is appropriate, providing feedback to AR team based on payer and ASRM guidelines that will assist in appeal of claim denials.

Who You Are

• Minimum Work Experience: 2 years experience in medical billing and coding, with experience in Infertility preferred but not required
• Required Licenses/Certifications
• Medical Billing and Coding School Completion
• Certified Medical Coder with Certification
• Required Skills, Knowledge, and Abilities
• Knowledge of medical terminology
• Knowledge of coding systems, ICD-10, CPT, and HCPCS
• Attention to detail
• Maintain confidentiality and ethical standards
• Skill in verbal and written communication.
• Ability to read, interpret and apply policies and procedures.
• Ability to set priorities among multiple requests.
• Ability to research and interpret coding guidelines and policies
• Ability to accurately trend, track, and report coding related issues to manager

Education

• College degree preferred, however, work experience will be considered
• Appropriate Coding Certification as mentioned above

Kindbody is an Equal Employment Opportunity employer. We strongly support the principles of equal employment opportunity in all of our employment and hiring policies and practices and believe that a more diverse and inclusive workplace will benefit our patients, care partners, and Kindbody employees. We administer our employment and hiring policies and practices without regard to race, color, religion, sex, gender, gender identity, gender expression, pregnancy, citizenship, national origin, ancestry, age, disability, medical condition, military service, military or veteran status, genetic information, creed, marital status, sexual orientation, or any other status protected by federal, state, or local laws.

Job Type: Full-time

Pay: $22.00 - $24.00 per hour

Work Location: Remote