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

Grady Health System; Atlanta (GA); Remote; USD 45,000 - 75,000; Full time

Job summary

An established industry player in healthcare is seeking a skilled Coder to join their team. This role involves reviewing outpatient clinical documentation using advanced coding systems like Epic and 3M CAC. The ideal candidate will have a strong understanding of ICD-10-CM and CPT-4/HCPCS coding conventions, with a focus on accuracy and compliance. This remote position requires candidates to reside in Georgia, offering a unique opportunity to contribute to a vital sector while enjoying the flexibility of remote work. If you have the expertise and a passion for coding, this could be the perfect fit for you.

Qualifications

• 2+ years of relevant coding experience in an acute care hospital.
• Certification as Certified Professional Coder (CPC) or similar.

Responsibilities

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

Skills

ICD-10-CM coding

CPT-4/HCPCS coding

Epic system

3M CAC system

Clinical documentation review

Education

High School Diploma or GED

Accredited Coding Certificate

Tools

Epic

3M CAC

Job description

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.