Medical Coder (CPC or CCS-P) - Remote

Crossroads

Greenville (SC)

Remote

USD 45,000 - 60,000

Full time

14 days+

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Benefits offered by this job

Mileage reimbursement

Community events participation

Daily impact on lives

Job summary

A healthcare provider in South Carolina is seeking a Medical Coder to join their team. The ideal candidate will have experience in coding medical services, knowledge of ICD-10-CM and CPT coding, and a commitment to accuracy and compliance. Key responsibilities include assigning diagnostic codes, resolving coding edits, and maintaining regulations knowledge. This role offers a chance to impact lives positively, along with a competitive benefits package, including medical insurance and paid leave.

Qualifications

Minimum of 2 years of coding experience with emphasis in Evaluation and Management coding.
Experience in coding healthcare provider documentation to identify correct codes preferred.
Excellent understanding of ICD-10-CM coding classification.

Responsibilities

Assign codes for services provided in the facility.
Review documentation to determine appropriate codes.
Ensure diagnosis codes meet medical necessity guidelines.
Maintain knowledge of coding guidelines and federal regulations.

Skills

ICD-10-CM coding

CPT/HCPCS coding

Billing and coding knowledge

Attention to detail

MS Office proficiency

Education

Certified Professional Coder (CPC) or CCS-P

High School diploma or equivalent

Job description

Overview

Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients. Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia. As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for all employees and patients.

Day in the Life of a Medical Coder

Assign ICD-10-CM and CPT/HCPCS codes with modifiers for services provided in the facility (Professional fee coding).
Review all applicable documentation of various providers to determine the appropriate codes to assign for all medical services, procedures, and diagnoses from available documentation within electronic medical records.
Ensures diagnosis codes meet local and national medical necessity guidelines.
Be knowledgeable of billing and coding requirements for governmental and private insurance payers.
Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all assigned services.
Demonstrates the technical competence to use the facility encoder and EMR in an office or remote setting.
Review and resolves coding edits and denials. Assists with rebilling accounts when necessary.
Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding.
Follow all HIPAA regulations and uphold a higher standard around privacy requirements.
Completes all assigned work in a timely manner based on internal and/or payer standards.
Must meet all coder productivity and quality goals; Maintain a 95% accuracy rate.
Attending and reporting at weekly team calls with Director of Medical Coding Compliance.
Reporting coding patterns identified within the coding process to management.
Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPCS II, and ICD-10 materials, the Federal Register, and other pertinent materials.
Adhere to all internal competencies, behaviors, policies and procedures to ensure efficient work processes.
May interact with providers and/or center administrators from time to time regarding billing and documentation policies, procedures, and conflicting/ambiguous or non-specific documentation.
Other duties and responsibilities pertaining to medical coding compliance monitoring as requested by the Director of Medical Coding Compliance or Chief Compliance Officer.

Education and Experience requirements

Certified Professional Coder (CPC) or CCS-P
High School diploma, GED or equivalent.
Minimum of 2 years of coding experience with an emphasis in Evaluation and Management coding.
Experience in coding healthcare provider documentation to identify correct ICD-10-CM, CPT, and/or HCPCS codes preferred.
An excellent understanding of Mental Health / Opioid Addiction medical terminology preferred.
An excellent understanding of ICD-10-CM coding classification and CPT/HCPCS coding.
Computer literate adept skill level on MS Office applications.
Experience in Mental Health or Addiction Medicine a plus.

Hours, Schedule, and Travel (if applicable)

Monday through Friday - Must be clocked on no later than 9:00 AM EST, Can start as early as 6:30 AM EST

Position Benefits

Have a daily impact on many lives.
Excellent training if you are new to this field.
Mileage reimbursement (if applicable) Crossroads matches the current IRS mileage reimbursement rate.
Community events that promotes belonging and education. Includes but not limited to community cook outs, various fairs related to addiction treatment and outreach, parades, addiction awareness for schools, and holiday events.
Opportunity to save lives everyday!

Benefits Package