Coding Specialist I - Revo Health

The Coding Specialist I will assure consistent quality coding in evaluation management, office procedures, and surgical coding while adhering to applicable federal, state, local, and department requirements.

This is a full-time remote position working Monday through Friday; 8am to 5pm.

We can accept applicants in the following states:

• Minnesota
• Wisconsin
• Texas
• South Dakota
• North Dakota
• Tennessee
• Ohio
• Georgia
• Florida
• Iowa
• Arizona
• Kansas
• Illinois

Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed through Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions. We have a comprehensive Medical, Dental & Vision Plan, Maternity Bundle, 401K with Profit Sharing, Tuition Reimbursement, Gym & Car Rental Discounts and more.

• Assign appropriate ICD-10-CM codes, per provider documentation using the most current diagnosis set
• Assign appropriate CPT and HCPCS codes, per provider documentation, for hospital and clinic procedures
• Review operative reports to assign appropriate CPT surgical codes
• Investigate discrepancies in documentation
• Follow coding policies and guidelines to determine appropriate coding
• Provide education and feedback to providers regarding documentation and billing processes
• Manage and provide coding support for coding backlogs, staffing coverage, and taking ownership of workloads
• Review denied claims to determine appropriate action for appeals
• Respond to pre-certification requests and estimate requests
• Monitor all “unkeyed” encounters to ensure that all billable services have been captured
• Research technical questions and in coordination with Coding Manager, determine written policies
• Any and all other duties as assigned

Education and Experience Requirements:

• High School diploma/GED or equivalent
• Coding Certification (CPC, CCS-P, RHIT or RHIA) and/or minimum of (5) years’ experience in related field preferred
• Experience in Coding Orthopedics preferred, but not required
• Intermediate knowledge of ICD-10-CM, CPT, HCPCS and payer specific guidelines
• Intermediate understanding of medical terminology, body system/anatomy, physiology and concepts of disease processes

Notes:

• Revo Health is an Equal Opportunity/Affirmative Action Employer and will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and the ADA Amendments Act of 2008.
• This position description will be reviewed periodically as duties and responsibilities change with business necessity. Essential and Additional Job Functions are subject to modification.