Revenue Cycle Coder CPC - Remote

Proliance Surgeons, Inc.; Seattle (WA); Remote; USD 50,000 - 80,000; Full time

Job summary

Join a leading surgical practice as a Revenue Cycle Coder, where your expertise in coding and billing will directly impact patient care. This role involves reviewing medical records, applying accurate coding, and collaborating with healthcare providers to ensure compliance with regulations. You'll thrive in a supportive environment that values diversity and encourages professional growth. With competitive compensation and comprehensive benefits, this is an exciting opportunity to contribute to exceptional healthcare outcomes. If you are detail-oriented and passionate about coding, we want you on our team!

Benefits

Health Coverage

401k with Match

Profit Sharing

Paid Time Off (PTO)

Qualifications

• Minimum 3 years coding/medical billing experience required.
• Professional coder certification with AHIMA and/or AAPC needed.

Responsibilities

• Review and audit medical records for accurate coding.
• Assist providers with coding and documentation guidelines.
• Resolve coding-related denials and appeals.

Skills

ICD10 Coding

CPT-4 Coding

HCPC's Coding

Medical Billing

Attention to Detail

Communication Skills

Microsoft Excel

EHR Navigation

Education

Professional Coder Certification

3+ Years Coding Experience

Tools

Microsoft Outlook

Adobe

Job description

Central Service Office, Seattle, Washington, United States of America

Job Description

Proliance Surgeons is one of the largest surgical practices in the country, with over 450 providers including over 200 board-certified physicians providing treatment at more than 100 care centers in Washington State .

At Proliance, our patients come from all walks of life and so do we. We hire, develop and engage great people from a wide variety of backgrounds and encourage growth and development to make our organization a great place to work. We draw on the differences in who we are, what we’ve experienced, and how we think to createExceptional Outcomes,Personally Delivered.

We are proud to offer a comprehensive and competitive benefit and pay package including health coverage, 401k with match and profit share, PTO and more! For further details please visit our careers page at www.proliancesurgeons.com/careers

Compensation during the offer process will be determined based on factors such as compensation structure, experience, qualifications, and internal equity.

Be Part of Who We Are!

Position Summary

The role of the Revenue Cycle Coder is crucial to the revenue cycle team. The team connects with our patients, their insurers or bill payers and our physicians. Accuracy and efficiency of this team directly impacts our mission to be the leader in physician-managed healthcare services and to provide excellent surgical and clinical care for every patient, every day. The Revenue Cycle Coder is critical to maintaining the funding for our services provided.

Key Duties and Responsibilities

The key duties and responsibilities of the Revenue Cycle Coder include, but are not limited to:

• Reviews/audits and interprets medical record documentation to identify pertinent diagnosis/procedure and apply correct ICD10, CPT-4, and HCPC’s codes in accordance with government and insurance regulations.
• Demonstrates appropriate utilization of coding software and coding reference material.
• Follow up with providers on any documentation that is insufficient, missing, or unclear.
• Assists providers with questions regarding coding and documentation guidelines. Provides ongoing feedback based on observations from coding documentation and identifies opportunities for education and communicates trends to leaders.
• Keeps up to date on carrier policies/guidelines to ensure all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or Payer-specific guidelines.
• Reviews and resolves suspended charges due to claim edits or payor rejections related to coding.
• Reviews, corrects and appeals coding-related denials trends and shares with leadership, and team members to facilitate root cause analysis and continuous process improvement.
• Corrects and/or appeals denied claims due to coding errors
• Other duties as assigned

Education/Experience

• Minimum 3 years coding/medical billing experience
• Professional coder certification with credentialing from AHIMA and/or AAPC, must be maintained annually
• ICD10 certified and/or extensive work experience

Knowledge, Skills and Abilities

• A strong understanding of physiology, medical terms, and anatomy
• Thorough attention to detail
• Excellent written and verbal communication skills
• Self-motivated team player able to multi-task and prioritize
• Excellent organization and interpersonal communication skills
• Strong computer skills/experience with Microsoft Excel, Outlook, and Adobe
• Working experience navigating EHR’s to abstract documentation

Work Environment/Physical Demands

The work environment/physical demands described here are representative of those that must be met by a teammate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable differently abled persons to perform the essential functions.

Work may be performed in an office and clinical environment. Requires corrected vision and hearing to normal range. While performing the duties of this job, the associate is regularly required to talk or hear. The associate is required to sit for long periods of time, stand and walk, bend and stretch. Use of telephone and computer is required. Manual dexterity required for use of computer keyboard. Occasionally lifts and carries items weighing up to 40 pounds. May requires working under stressful conditions or working irregular hours.

Central Service Office, Seattle, Washington, United States of America