Remote Medical Coder – CPT/ICD-10 Specialist

Albany Medical Center; City of Albany (NY); Remote; USD 59,000 - 89,000; Full time

Job summary

Albany Medical Center is seeking a Professional Coder to review, analyze, and validate CPT and ICD-10 codes and charges applied by providers to ensure compliance with federal and state regulations and insurer guidelines. This is a remote, full-time position based in Albany, NY.

The ideal candidate will have a high school diploma, 1-3 years of provider coding experience, proficiency in Word and Excel, and AHIMA or AAPC coding credentials (CPC/CCA/CCS/COC/RHIT/RHIA).

Qualifications

• High School Diploma/G.E.D. - required.
• 1-3 years Experience in provider professional fee coding - preferred.
• Working knowledge and experience with provider professional fee coding and charge processing. Computer experience, Windows environment with proficiency in Microsoft Word and Excel is required. Excellent verbal and written communication skills.
• CPC, CCA, CCS, COC, RHIT, RHIA or other coding credential through AHIMA or AAPC and be in good standing. - required

Responsibilities

• Effectively reviews, analyzes, and validates CPT, ICD-10 diagnosis codes, HCPCS, modifiers and charges applied by providers to assure compliant with federal and state regulations and insurance carrier guidelines.
• Perform accurate and compliant coding of CPT and ICD-10 diagnosis codes.
• Understands National Correct Coding Initiative (NCCI) edits and relative value units as appropriate for the role.
• Ensure established productivity and quality standards are met.
• Review denials, research and respond appropriately and timely.
• Perform audits as determined by management.
• Assist with all levels of application testing for identified coding workflows as needed.
• Attend and contribute to all PCO staff meetings, department meetings and all other meetings assigned.
• Assume responsibility for professional development by participating in webinars, workshops, and conferences when appropriate.
• Ability to work well with people from different disciplines with varying degrees of business and technical expertise.
• Remain knowledgeable of all insurance products (including Managed care, Medicaid and Medicare), policies and procedures as well as State and Federal mandates and legislation in relation to coding and documentation.
• Interact with providers and their staff to support accuracy and specificity in documentation and procedural and diagnostic coding.
• All other duties as assigned.

Education

High School Diploma/G.E.D.

CPC, CCA, CCS, COC, RHIT, RHIA or other coding credential through AHIMA or AAPC

Tools

Microsoft Word

Microsoft Excel

Job description

Albany Medical Center is seeking a Professional Coder to review, analyze, and validate CPT and ICD-10 codes and charges applied by providers to ensure compliance with federal and state regulations and insurer guidelines. This is a remote, full-time position based in Albany, NY.

The ideal candidate will have a high school diploma, 1-3 years of provider coding experience, proficiency in Word and Excel, and AHIMA or AAPC coding credentials (CPC/CCA/CCS/COC/RHIT/RHIA).