Remote Medical Coder (CPC)

October 24, 2024

Industry: Private

Employment Type:- Full Time

Work Hours:- 8 Hours

Locations:- USA

Full Job Description:-

Job Summary:

For more than 20 years RSi has been a leading revenue cycle management service provider for the hospital and large physician practice market. As a member of our Insurance Department, the Medical Coder is responsible for accurately coding medical records for both physician and hospital services, ensuring that all coding is in compliance with regulatory requirements and supports the organization’s revenue cycle goals. This role involves reviewing clinical documentation, assigning appropriate ICD-10, CPT, and HCPCS codes, and working closely with healthcare providers to clarify diagnoses and procedures as necessary. The Medical Coder plays a critical role in ensuring accurate billing and optimal reimbursement for services rendered. Our culture is driven by sharp, committed, and enthusiastic employees. Are you the next member of our Team?

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Job Responsibilities:

Coding and Documentation:

Review clinical documentation from physician and hospital services to assign accurate ICD-10, CPT, and HCPCS codes for diagnoses, procedures, and services.
Ensure that coding practices comply with federal, state, and local regulations, as well as payer-specific guidelines.
Work with healthcare providers to clarify ambiguous or conflicting documentation, ensuring accurate and complete coding.
Enter and validate coded data in the electronic health record (EHR) and billing systems.

Compliance and Quality Assurance:

Perform coding audits to ensure accuracy and compliance with coding standards and regulations.
Identify and report any coding discrepancies or issues to the Coding Supervisor or Medical Coding Director.
Stay current with coding updates, guidelines, and payer requirements to ensure ongoing compliance.
Participate in continuing education and training to maintain coding certifications and stay informed of industry changes.

Collaboration and Communication:

Collaborate with clinical staff, physicians, and other healthcare professionals to ensure accurate coding and documentation practices.
Provide feedback and education to providers on documentation improvement and coding best practices.
Assist with resolving coding-related billing issues, denials, and rejections in collaboration with the billing and revenue cycle teams.

Data Management and Reporting:

Ensure timely and accurate entry of coded data into the EHR and other relevant systems.
Generate coding reports as needed for management, audit, or quality improvement purposes.
Participate in special coding projects or assignments as directed by management.

Qualifications:

Education:

High school diploma or equivalent is required.
Associate’s degree in Health Information Management, Nursing, or a related field is preferred.
Certification as a Certified Coding Specialist (CCS-P), Certified Professional Coder (CPC)

Experience:

A minimum of 2-5 years of experience in medical coding, with experience in both physician and hospital coding preferred.
Demonstrated knowledge of ICD-10, CPT, and HCPCS coding systems for both inpatient and outpatient services.
Experience in coding for a variety of medical specialties and service lines, including complex cases.

Skills:

Proficiency in using coding software and electronic health record (EHR) systems.
Strong understanding of medical terminology, anatomy, and physiology.
Excellent attention to detail and accuracy in coding and data entry.
Ability to work independently and manage multiple priorities in a fast-paced environment.
Strong communication skills, with the ability to collaborate effectively with healthcare providers and other team members.

Additional Requirements:

Commitment to ongoing education and professional development to maintain coding certifications and stay current with industry standards.
Ability to work in a dynamic healthcare environment with a focus on accuracy, compliance, and efficiency.
Strong ethical standards and commitment to maintaining patient confidentiality and data security.

Physical Requirements:

Prolonged periods sitting at a desk and working on a computer.
Must be able to lift up to 15 pounds at times.