Remote PRN ProFee Multi specialty coder

Presbyterian Healthcare; Albuquerque (NM); A distancia; USD 31.000 - 53.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Benefits package

Wellness rewards program

Remote work opportunity

Descripción de la vacante

Presbyterian Healthcare Services is hiring a remote PRN medical coder to code inpatient/outpatient hospital, ED, Home Health and professional fee records. The role requires CPT/ICD coding with MS-DRG assignments and compliance with federal regs.

You will review whole records, support QA and Joint Commission reporting, and research records across systems to ensure timely, accurate coding and billing. Benefits and ongoing education are included.

Formación

• Must have one of the coding certifications at hire (HCS-D/CCS/CCS-P/CPC-H/CPC or RHIT/RHIA).
• 1–3 years of coder experience.
• Computer skills including Word, Excel, PowerPoint; encoder and EMR experience preferred.

Responsabilidades

• Review patient records and assign CPT, ICD and MS-DRG codes for reimbursement and research.
• Abstract data for quality improvement and Joint Commission reporting.
• Research records across systems to complete coding on time and manage accounts receivable.
• Resolve pre-bill edits and denials for assigned accounts.
• Stay updated on ICD-9/10, CPT-4, HCPCS, DRG, APC/HHRG updates.
• Participate in departmental trainings and communicate with the Coding Manager.
• Code across multiple service areas; maintain 95% accuracy.
• Maintain productivity per PHS standards and CE requirements.

Conocimientos

HCS-D

CCS

CCS-P

CPC-H

CPC

RHIT

RHIA

Educación

High school diploma/GED

Descripción del empleo

Albuquerque, New Mexico, Location Address: Remote Office
Santa Fe, NM 87501
Compensation Pay Range: Minimum Offer $22.79
Maximum Offer $38.80
Now Hiring: Remote PRN ProFee Multi specialty coder Summary: Codes more than one of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers for the purpose of reimbursement, research and in compliance with Federal regulation according to diagnosis, operation and procedure using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures

Type of Opportunity: PRN
Job Exempt: No
Job is based: Remote Workers New Mexico
Work Shift: Varied Days and Hours (United States of America)

Responsibilities

• Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS) to be used for financial reimbursement, research in accordance with Federal Regulations and Hospital and Departmental policies.
• Abstracts data essential to the QI department in determining patient care issues as well as providing information to The Joint Commission.
• Accesses several systems via the computer to research the medical record when needed to complete the coding in a timely manner. Takes responsibility for accounts receivable by looking for lost documents to insure all encounters are coded, including the generation of appropriate queries, as needed.
• Responsible for resolving any and all pre-bill edits, denials, etc for assigned accounts.
• Maintains and disseminates up-to-date technical knowledge of legal and regulatory information from all appropriate jurisdictions concerning the given business area. This includes but is not limited to all ICD-9/10 CM, CPT-4, HCPCS, DRG, APC and/or HHRG updates and changes.
• Participates in all departmental in-services and updates to stay current with the accepted coding guidelines and improve personal knowledge of medicine and treatment.
• Communicates issues to the EW Clinical Coding Manager & Supervisor, as appropriate.
• Must demonstrate knowledge of coding multiple areas of service and/or specialties.
• Maintains at least a 95% accuracy rate.
• Maintains average to high productivity based on PHS Productivity Standards.
• Maintains continuing education (CE) requirements per PHS policy

Qualifications

High school diploma/GED required. Must have any one of the following coding certifications at time of hire: HCS-D, CCS, CCS-P, CPC-H or CPC, or RHIT/RHIA with achievement of one of the coding credentials above within one year of hire. One-three years experience as a coder required. Must possess computer skills including, but not limited to, Word, Excel, PowerPoint. Experience with an encoder preferred. Experience with an Electronic Medical Record preferred. Must be able to use the internet and other electronic resources for the purpose of research UPDATED 8/27/25 All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits. Wellness Presbyterian’s Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more. Why work at Presbyterian? As an organization, we are committed to improving the health of our communities. From hosting growers’ markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans. About Presbyterian Healthcare Services Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state’s largest private employer with nearly 14,000 employees – including more than 1600 providers and nearly 4,700 nurses. Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses. We’re Determined to Support New Mexico’s Well-Being | Presbyterian Healthcare Services