Trauma / Acute Care Surgery Medical Coder - Remote

The practice provides physician services for trauma, emergent general surgery and surgical critical care. The Certified Coder is responsible for performing various duties to accurately interpret and bill physician charges for physician services in a hospital setting. Performs research and compliance with regulatory Coding requirements. Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors. Good working knowledge of medical terminology and anatomy required. Well versed in Accounts Receivable and familiar with various payers including CA Medi-Cal and Medicare.

• Perform initial charge review to determine appropriate ICD-10 and CPT codes to be used to report physician services to third-party payers.
• Interpret progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT and ICD-10 coding to these services.
• Identify all billable procedures and services; ensuring all appropriate ICD, CPT, HCPCS code(s), and quantities are captured.
• Responsible for reviewing patient logs and other reports of clinical activity to ensure billing is captured for all patients.
• Review and resolve coding edits related to procedures and services charged.
• Perform weekly/monthly audits to ensure all services that can be billed are captured and coded for billing.
• Review all physician documentation to ensure compliance with third-party and regulatory guidelines.
• Maintain two-day coding turnaround times for procedure accounts based on date of service.
• Responsible for ensuring the batch processes for all coded charges.
• Identifies and escalates leadership impacts to timely coding, charge capture, and avoidable delays for billing/reimbursement.
• Evaluate medical records to identify documentation deficiencies and provides feedback to the clinicians.
• Queries physicians per established policy and procedure when documentation is not clear or conflicting.
• Provide clinicians with updates.
• Keep abreast of coding guidelines by self-study, assigned education, coding meeting attendance, or related in-services. Participates in internal and external quality review meetings and audits.
• Meet and/or exceeds the established quality standard of 97% accuracy rate or better while meeting and/or exceeding established production standards.
• Document and submit insurance appeals related to coding denials.
• Work closely with Accounts Receivables team members to answer all inquiries regarding coding and billing for physicians’ services.
• Perform special projects and other duties as assigned.
• Report to work, meetings, and professional obligations on time.
• Participate in administrative staff meetings and attend other meetings and seminars.
• Maintain confidentiality.
• Gather and interpret clinical data.
• Code and support corporate/department-specific quality standards and meet productivity standards as documented by the department and organization.
• Abide by the Standards of Ethical Coding set forth by the American Health Information Management Association (AHIMA) and adhere to all official coding guidelines.
• Attention to detail is crucial to this position.
• Manage time effectively and work in a high volume, high accuracy work environment with deadlines.

Job Type: Full-time

Pay: $31.00 - $32.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday
• Weekends as needed

Work setting:

• Hospital
• Private practice
• Remote

Application Question(s):

• What is your level of experience coding Trauma and E&M visits, as well as SICU patients following emergency general surgery? Less than two years' experience will not be considered for this position (deal breaker).

Experience:

• professional coder: 2 years (Required)

License/Certification:

• Medical Coding Certification (Required)

Work Location: Remote