Major Responsibilities:
- Risk Coding Oversight:
- Review risk capture reports for outliers and implement corrective actions.
- Conduct ongoing audit of select number of records to provide timely feedback to providers.
- Code Review, Audits and Trending
- Participate in code reviews as requested by clients.
- Document results of reviews
- Participate in preparation of results presentation and training as needed.
- Monitor coding trends and communicate to appropriate resources.
- Coding and Billing Internal and External Support
- Research internal and external billing questions regarding billable and reimbursable services.
- Work Coding related work queues including questions from internal staff.
Required:
High School diploma or equivalent
- Current Medical coding certification in an industry recognized association (e.g., AAPC, AHIMA.)
- Certified in Risk Coding (CRC)
- At least 3 years year of active coding experience, Behavioral Health and Lab billing a plus.
- Knowledge of ICD-CM (current edition), CPT coding, CCI edits and risk management coding
- Knowledge of third-party payer requirements as well as federal and state guidelines and regulations pertaining to coding, billing practices and risk management
- Excellent written and verbal communication skills
Job Type: Part-time
Pay: $24.00 - $32.00 per hour
Expected hours: 24 per week
Benefits:
- Paid time off
Schedule:
- Monday to Friday
Work setting:
- Remote
Experience:
- ICD-10: 3 years (Required)
Work Location: Remote