Remote Pro Fee Coding Specialist

Saint Francis Hospital, Inc.; United States; Remote; USD 55,000 - 75,000; Full time

Job summary

Saint Francis Hospital, Inc. in the United States is seeking a Pro Fee Coding Specialist to review documentation and code diagnoses and procedures using current coding standards.

This role requires coding knowledge and collaboration with providers to ensure accurate billing. The position emphasizes independent work in a fast-paced environment, with qualifications including CCS, CPC, RHIA/RHIT, HCCs and AHIMA/AAPC certifications, plus a GED or high school diploma.

Qualifications

• Knowledge of medical record content to locate information for coding.
• Basic encoder skills.
• Excellent written and verbal communication.
• Interpersonal, organizational and multitasking abilities.
• Ability to determine whether a record is complete enough to code.
• Ability to work independently and collaboratively in a fast-paced environment.

Responsibilities

• Codes as assigned from review of medical record documentation.
• Applies knowledge of current coding and billing requirements to ensure claims are submitted correctly.
• Monitors coding and billing performance and resolves denials related to coding errors.
• Performs review for charge corrections and rebilling as required for resolution of coding denials.
• Develops preventative measures in response to patterns identified through analysis of claims denial data; prepares periodic reports for clinical staff, identifying corrective measures to resolve denial problems.
• Advises and instructs providers regarding documentation and billing policies, procedures and regulations; interacts with providers regarding conflicting, ambiguous or none-specific documentation, obtaining clarification of the same.
• Educates providers and office staff regarding documentation coding and billing changes and regulations to assure compliance with local, state and national policies.
• Works collaboratively with providers, office staff, billing personnel, quality department and compliance, and coding resources to ensure accurate coding.
• Stays updated on coding rules, attends seminars and reviews and coding periodicals.

Skills

Medical coding knowledge

Encoder basics

Communication skills

Multitasking

Independent work

Microsoft 365 knowledge

Education

GED or High School diploma

Tools

Microsoft 365

Job description

Saint Francis Hospital, Inc. in the United States is seeking a Pro Fee Coding Specialist to review documentation and code diagnoses and procedures using current coding standards.

This role requires coding knowledge and collaboration with providers to ensure accurate billing. The position emphasizes independent work in a fast-paced environment, with qualifications including CCS, CPC, RHIA/RHIT, HCCs and AHIMA/AAPC certifications, plus a GED or high school diploma.