Job Details
Job Location
Remote- US - Little Rock, AR
Remote Type
Fully Remote
Position Type
Full Time
Description
Purpose Summary: The Revenue Cycle Management (RCM) Medical Coder I protects the financial value of RCM clients work by providing expert review and coding of clinical documentation. As an integral part of our RCM team, the position serves in a cross-functional, fast-paced environment in order to meet performance and quality assurance benchmarks. Essential duties include accurately assigning and sequencing procedure and diagnosis codes for insurance reimbursement as well as data entry of transactions along with communication with team regarding outstanding issues.
Responsibilities:
Analyzes and interprets documentation from medical records to ascertain complete and accurate diagnosis and procedure coding in an office setting.
Abstracts and validates required data elements into the coding and billing systems.
Communicates with providers via Task for missing documentation or questions regarding documentation and offers guidance and education when needed.
Use coded data, and/or medical records to enter charges into MedEvolve PM or other software applications used by RCM client.
Determines principle diagnosis(es) and procedure(s) utilizing updated Medicare coding guidelines and other references.
Enters patient demographics including insurance information into the billing system, if applicable
Verify insurance coverage in MedEvolve PM or other software applications used by RCM client.
Enters diagnosis and procedure codes into MedEvolve PM or other software applications used by RCM clients to generate a bill, as appropriate.
Identifies and codes all applicable invasive procedures utilizing the encoder and abstracting system.
Utilizes the chart management system as required by task and responsibility.
Post private payments associated with superbills into MedEvolve application and/or other software applications used by RCM client.
Understands RCM lifecycle, including the process of each claim and how this position directly impacts the process and other steps within the process
Demonstrate understanding of billing procedures through verifying accuracy of all patient encounter forms submitted for processing or billing, including modifiers, bundled codes, (global, CCI edits, etc..)
Keep current on informational changes in Coding and Billing procedures
Meet benchmarks for data entry accuracy.
Communicate/answer questions regarding coding
Other duties as assigned
Key Measures:
Transform physicians documentation into CPT and ICD codes accurately
Verify patient insurance eligibility
Reduction of A/R
Timely interactions with internal team to support coding denials and outstanding claims
Qualifications
Qualifications:
Certified coder: CPC coding credentials
Minimum 0-3 years of relevant experience
Possess a sound knowledge of medical coding rules, regulations, and compliance utilizing ICD 10, CPT and HCPC.
Excellent communication skills: communicate effectively with management, clinical and business staff, and physicians
Ability to deal with a number of tasks simultaneously
Strong attention to detail
Intermediate computer skills
Understands the importance of maintaining confidentiality; able to maintain confidentiality under HIPAA standards
Must have the ability to exercise a high degree of diplomacy and tact; excellent customer services skills
Must be highly flexible; able to accommodate changing needs of the department
Must be a self-starter, motivated and have the ability to multi-task
Training and/or experience with computer data entry
Knowledge of medical terminology required within the specialties assigned
Ability to understand and follow instructions
Physical Elements and Work Environment:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Regularly required to sit, talk, and hear
Occasionally required to stand and walk
The noise level is usually moderate
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