The Certified Coder reviews CPT, HCPCS and ICD-10 coding for Physician visits and procedures. This position assures that proper documentation is present to support the codes submitted for reimbursement. The Certified Coder reviews claims prior to submission to ensure necessary modifiers are included to provide optimal reimbursement. The responsibilities also include assisting the Insurance Claims Specialists with filing appeals when needed and the Patient Account Representatives when patients may have questions related to coding. Full-Time/Benefits Eligible Remote flex schedule. 40 hrs/week. Hours must be worked between 6am and 8pm, Monday-Friday. Remote/Westerville, OH

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

Review physician progress notes for necessary documentation prior to locking of notes. Work claims prior to submission to ensure that the codes are correct and necessary modifiers have been appended. Work actions from sites and other teams in Revenue Cycle to assist in coding queries. Assist Physicians in learning how to do correct coding. Act as resource to Physicians and Revenue Cycle team on coding related questions and issues. Participate in education activities such as courses and seminars, both within the company and outside.

QUALIFICATIONS

Preferred:

Minimum 1 year of experience as a certified coder

Education, Licensures & Certifications Required:

High School diploma or

GED Required:

Certification from either AAPC or AHIMA for

Medical Coding Required:

Maintain coding certification Knowledge, Skills & Abilities Extensive knowledge of CPT, ICD-10 and HCPCS coding Ability to demonstrate a high level of confidentiality Ability to learn and use new software programs Ability to examine documents for accuracy and completeness Ability to communicate both verbally and written clearly and precisely Working knowledge of Microsoft Teams, Word, Excel and Outlook Self-motivated with the ability to work independently or as a team member Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.