Senior Medical Coder - Remote Billing & Audits

Jefferson Health Plans; Oregon; Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical insurance

Dental and vision

Retirement plans

Tuition assistance

Flexible spending accounts

AD&D insurance

Job summary

Jefferson Health Plans is seeking a Sr. Coder Professional Billing to review records, assign ICD-10-CM, CPT, and HCPCS codes, and prepare claims remotely for a national network.

You will collaborate with clinicians and billing staff to ensure accurate coding and timely reimbursement. Ideal candidates hold CPC certification and have 2-3 years of multi-specialty coding experience, with proficiency in coding software and medical terminology.

Qualifications

• Certification: CPC (Certified Professional C coder) from recognized organizations.
• Experience: 2-3 years in medical coding, preferably in a multi-specialty healthcare setting.
• Technical Skills: Proficiency in medical coding software and a strong understanding of medical terminology and coding guidelines.

Responsibilities

• Review patient medical records and assign appropriate codes using ICD-10-CM, CPT, and HCPCS.
• Prepare and submit claims to insurance companies, ensuring accuracy and compliance for reimbursement.
• Collaborate with healthcare providers, billing staff, and others to clarify documentation and ensure coding accuracy.
• Auditing: conduct audits of medical records to ensure coding accuracy and compliance with regulations and standards.
• Provide training and support to healthcare staff on coding practices and documentation requirements.

Skills

Medical coding

CPC certification

HIPAA compliance

Tools

Coding software

Job description

Jefferson Health Plans is seeking a Sr. Coder Professional Billing to review records, assign ICD-10-CM, CPT, and HCPCS codes, and prepare claims remotely for a national network.

You will collaborate with clinicians and billing staff to ensure accurate coding and timely reimbursement. Ideal candidates hold CPC certification and have 2-3 years of multi-specialty coding experience, with proficiency in coding software and medical terminology.