Senior Medical Coder (Facility)

Revology; United States; Remote; USD 60,000 - 90,000; Full time

Job summary

Revology is seeking a Senior Medical Coder to support coding processes within healthcare revenue cycle management. The role involves reviewing medical records, ensuring compliance with coding standards, and collaborating with team members to enhance performance. Candidates should possess relevant certifications and a strong understanding of coding guidelines.

Qualifications

• Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or similar license required.
• Minimum three (3) years of medical coding experience.
• Must remain current on coding guidelines and regulations.

Responsibilities

• Review clinical and demographic information to select appropriate codes.
• Investigate coding-related system edits and payer rejections.
• Provide training support for new and existing processes.

Skills

Communication

Problem-solving

Education

High school diploma or equivalent

Bachelor’s degree or equivalent experience (preferred)

Job description

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About Revology

Revology is a technology-enabled healthcare revenue cycle management (RCM) firm providing outsourced services to hospitals, health systems, and physician groups. Our tech smart-from-the-start strategy enables us to break through conventional barriers and empower each revologist to drive a higher standard of revenue cycle performance. This is possible because we spend our lives in the sweet spot where smart tech and good humans reach their highest potential and maximize outcomes.

About Revology

Revology is a technology-enabled healthcare revenue cycle management (RCM) firm providing outsourced services to hospitals, health systems, and physician groups. Our tech smart-from-the-start strategy enables us to break through conventional barriers and empower each revologist to drive a higher standard of revenue cycle performance. This is possible because we spend our lives in the sweet spot where smart tech and good humans reach their highest potential and maximize outcomes.

At Revology, we are committed to stewarding and empowering an inclusive environment within our company and our communities. While we believe in “culture” - we don’t believe in “culture fit”. We encourage every single revologist to bring their unique perspective, lived experience and authentic selves to the table. Revology is an equal opportunity employer and we encourage everyone to apply for our available positions - including women, people of color, individuals with disabilities and those in the LGBTQIA+ community.

Role: Senior Medical Coder, Coding Services

Location: Remote. Must work in a location within the United States

Travel: No travel required

Classification: Hourly, Non-exempt

Reports to: Supervisor, Coding Services

Salary Range: Commensurate with experience

About The Role

The Senior Medical Coder, Coding Services will work closely with the leadership of their assigned team(s) to foster a work environment that encourages team members to flourish and perform at their highest ability. An effective senior certified coder possesses a can-do attitude and consistently strives to support their team, colleagues and clients in a wide array of responsibilities. They will be go-getters, great listeners, and problem-solvers.

Responsibilities

• Reviews and/or evaluates relevant clinical and demographic information from the medical record to identify accurate and appropriate code selection and claim information.
• Solicits additional information from providers regarding ambiguous or conflicting documentation in the medical record. Corrects coding discrepancies as needed.
• Investigates and resolves coding-related system edits, rejections from payers, and/or insurance denials when needed.
• Provides guidance or feedback on steps to resolution for complex and challenging account escalations from team members and/or Revology clients.
• Executes on high priority / high visibility coding projects for their assigned clients (assignments will vary depending on client and need).
• Provides training support for new and existing processes, in collaboration with other internal and external teams.
• Assists with gathering and documenting coding trends and related denials to review with Revology leadership and clients.
• Identifies and escalates system or process breakdowns to leadership; assists with resolution when requested.
• Complies with and holds with utmost regard all compliance requirements to protect patient privacy and confidentiality (HIPAA compliance); abides by the Standards of Ethical Coding.
• Stays curious, kind and contributes positively to the Revology culture. The health + harmony of the team is everybody’s responsibility at Revology.
  
  

The statements stated in this job description reflect the general duties as necessary to describe the basic function, essential job duties/responsibilities, job requirements, physical requirements and working conditions typically required, and should not be considered an all-inclusive listing of the job. Individuals may perform other duties as assigned, including work in other functional areas to cover absences or relief, to equalize peak work periods or otherwise balance the workload.

Requirements

• Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or similar license from a nationally accredited medical coding organization required; Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) accepted.
• Minimum three (3) years of medical coding experience; Facility experience preferred
• Understanding of all or a combination of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, including coding compliance guidelines.
• Must remain current on coding guidelines, rules and regulations, and new codes. Must complete mandatory continuing education.
• Ability to work independently to accomplish goals in a dynamic environment.
• Must have an ability to support and motivate a team to perform at a high level.
• Excellent communication skills (verbal and written) required to support interactions with internal and external partners.
• High school diploma or equivalent required; bachelor’s degree or equivalent experience preferred.
  
  

Remote Work Requirements

Internet capability must be a high-speed internet connection.

Physical Requirements

Must be able to perform physical activities, such as, but not limited to: moving or handling (lifting, pushing, pulling and reaching overhead) office equipment and supplies weighing 1 to 25 lbs. unassisted. Frequently required to sit for extended periods during the workday. Manual dexterity and visual acuity required. Must be able to communicate effectively on the telephone and in person.

working conditions

Work will generally be performed indoors in an office environment. Must maintain a professional appearance and manner.

employment eligibility

Candidates must be legally authorized to work in the United States without sponsorship.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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