Medical Billing And Coding Specialist
Job Description
Position Overview:
Join our Hospital System as a Senior Medical Coder, here you will play a crucial role in ensuring accurate coding and billing processes within our acute care facility (handeling inpatient and outpatient accounts). The purpose of this position is to correctly assign ICD-10-CM diagnostic/procedure PCS codes on clinical encounters in accordance with regulatory and CMS Official Guidelines for coding and reporting to ensure accurate reimbursement.
Job Type: Fully Remote
(Work from Home)
Responsibilities:
- Assign appropriate DRG and ICD-10 codes to diagnoses and procedures for billing purposes.
- Collaborate with healthcare providers to clarify documentation for accurate code assignment.
- Conduct audits to monitor coding accuracy and compliance with regulatory requirements.
- Adherence to Health Information Management (HIM) Coding policies.
- Interprets and applies American Hospital Association (AHA) Official Coding Guidelines to articulate and support appropriate principal, secondary diagnoses and procedures.
- Aherence to The Joint Commission (TJC) and other third-party documentation guidelines in an effort to continually improve coding quality and accuracy.
- Knowledge of Anatomy and Physiology, Pharmacology, Disease Pathology, and Medical Terminology.
- Knowledge of basic coding conventions and use of coding nomenclature consistent with CMS Official Guidelines for Coding and Reporting ICD-10-CM and PCS coding.
- Ability to navigate the Electronic Medical Record to identify appropriate documentation for coding/billing in support of submitted department charges.
Qualifications:
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS) or CIC Coding Credential (Required).
- Experience working in systems: HB Coding – EPIC and 3M (Useful).
- Minimum of 3 years of experience in medical coding, including both inpatient and outpatient experience (Required).
*Please include copies of your certifications along with the submission of your resume.
Meet Your Recruiter
Anthony Parker
Executive Recruiter
Originally form Maryland, Anthony now resides in the great state of North Carolina with his family.
Anthony is a full cycle recruiter with over 10 years of experience primarily in the Healthcare Sector. He prides himself in his ability to truly understand the needs of the Hiring Managers he serves.
With an extensive understanding of Behavioral Interviewing techniques, performing position surveys and identifying core competencies for new positions, Anthony strives to use proven best practices to achieve his career goals.
In his free time, Anthony enjoys reading, traveling and doing outdoor activities.