Remote PRN ProFee Multi specialty coder

0090 Presbyterian System Services; New Mexico; Híbrido; USD 31 000 - 53 000; Tempo parcial

Vantagens oferecidas por esta oferta de emprego

Medical, dental, vision benefits

Short/long-term disability insurance

Group life insurance

Wellness program

Resumo da oferta

Presbyterian Healthcare Services is seeking a remote PRN professional coder to review and code inpatient and outpatient hospital records, ED, Home Health and professional services. You will ensure compliant coding for reimbursement and research, and support quality initiatives.

The role requires a high school diploma, 1–3 years coding experience, and credentials such as CCS/CPC. Proficiency with Word/Excel/PowerPoint and encoder tools is preferred.

Qualificações

• High school diploma or GED required.
• Must have one of the coding certifications at hire: HCS-D, CCS, CCS-P, CPC-H or CPC, or RHIT/RHIA with a credential within one year.
• 1–3 years of coder experience required.
• Computer skills: Word, Excel, PowerPoint; encoder experience preferred.

Responsabilidades

• Review patients' full medical record and assign CPT, ICD and MS-DRG codes for reimbursement and research.
• Abstract data for the Quality Improvement department and Joint Commission reporting.
• Access multiple systems to research records and complete coding timely; pursue missing documentation.
• Resolve pre-bill edits/denials for assigned accounts.
• Maintain up-to-date knowledge of coding guidelines and regulatory changes.
• Communicate issues to Coding Manager/Supervisor and demonstrate ability to code multiple service areas.
• Maintain at least 95% accuracy and productivity per policy; meet CE requirements.

Conhecimentos

Coder experience

Attention to detail

Formação académica

High School diploma / GED

Ferramentas

Encoder

Electronic Medical Record (EMR)

Word

Excel

PowerPoint

Descrição da oferta de emprego

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

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

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 Here, we're committed to a different way to make a difference.

Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, nurses, employees, board members, and volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than one in three New Mexicans. We are part of New Mexico's history and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.