Physician Denials - Coder II - Professional Billing - FTE - Remote

Grade Health System; Atlanta (GA); Remote; USD 50,000 - 80,000; Full time

Job summary

An established industry player is seeking a skilled Coder II to join their remote team, focusing on outpatient clinical documentation review. This role involves utilizing coding systems like ICD-10-CM and CPT-4/HCPCS to ensure accurate coding for hospital outpatient accounts. The ideal candidate will have at least two years of relevant experience and hold certifications such as CPC or COC. This position offers a unique opportunity to contribute to efficient billing processes while working from the comfort of your home, provided you reside in Georgia. Join a forward-thinking organization that values diversity and inclusion in the workplace.

Qualifications

• 2+ years of coding experience in an acute care hospital.
• Certification as CPC, COC, or CCS required.

Responsibilities

• Review outpatient clinical documentation for coding accuracy.
• Extract information from various clinical reports for code assignment.

Skills

ICD-10-CM coding

CPT-4/HCPCS coding

Clinical documentation review

Modifier application

Education

High School Diploma or GED

Accredited Coding Certificate program

Tools

Epic

3M CAC

Job description

Physician Denials - Coder II - Professional Billing - FTE - Remote

SUMMARY
The Coder is responsible for reviewing outpatient clinical documentation via Epic and 3M CAC for assignment of ICD-10-CM diagnoses and CPT-4/HCPCS procedure coding systems. Through knowledge of coding conventions and guidelines. Ability to address commonly applied modifiers for hospital outpatient accounts. Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including Pathology), procedure records, specialty forms, etc. Determines complex code assignment pertinent to emergency visits and diagnostic workups.

QUALIFICATIONS

• High School Diploma or GED is required
• At least 2 years relevant coding and abstracting experience in an acute care hospital.
• Experience with Epic and 3M CAC systems preferred.
• Certification as a Certified Professional Coder (CPC) or Certified Outpatient Coding (COC), formerly Certified Professional Coder-Hospital (CPC-H), Certified Coding Specialist (CCS or CCS-P).
• Accredited Coding Certificate program (AAPC or AHIMA) required.
• Remote, but must live in Georgia.

Equal Opportunity Employer - Minorities/Females/Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity.