Remote HCC Coder with CRC – Reimbursement Specialist

Presbyterian System Services

Santa Fe (NM)

On-site

USD 33,000 - 56,000

Full time

14 days+

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Benefits offered by this job

Wellness program
Comprehensive benefits package
Smoke-free campuses

Job summary

Presbyterian Healthcare Services seeks a skilled Remote PRN HCC Coder with CRC to join our team. The role codes inpatient and/or outpatient hospital records, ED, Home Health & Hospice, and professional services for reimbursement and research in line with federal regulations.

The coder will review full medical records, assign CPT/ICD and MS-DRG codes, query as needed, and ensure accuracy above 95% while maintaining productivity per PHS standards.

Qualifications

  • High school diploma or GED required.
  • One of the listed coding credentials must be obtained by hire date.
  • One to three years of coder experience preferred.
  • Proficient in Word, Excel, PowerPoint, and internet research.
  • Experience with an encoder and EMR is preferred.

Responsibilities

  • Code inpatient and/or outpatient hospital records, ED, Home Health, Hospice and professional services using ICD-9/10 CM, CPT-4.
  • Assign CPT, ICD and MS-DRG codes for reimbursement and research per federal regulations.
  • Review full medical records and ensure accuracy at least 95% with productivity targets.
  • Generate queries as needed and resolve pre-bill edits/denials.
  • Stay current with ICD-9/10 CM, CPT-4, HCPCS, DRG, APC/HHRG updates and regulatory changes.

Skills

Attention to detail
Time management
Research skills
Computer literacy

Education

HCS-D
CCS
CCS-P
CPC-H
CPC
RHIT
RHIA

Tools

Encoder

Job description

Presbyterian Healthcare Services seeks a skilled Remote PRN HCC Coder with CRC to join our team. The role codes inpatient and/or outpatient hospital records, ED, Home Health & Hospice, and professional services for reimbursement and research in line with federal regulations.

The coder will review full medical records, assign CPT/ICD and MS-DRG codes, query as needed, and ensure accuracy above 95% while maintaining productivity per PHS standards.

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