Remote Certified Medical Coder
Buffalo Medical Group is seeking full-time Certified Coder that will be responsible for the review and analysis of provider documentation and assignment of CPT and ICD-10 codes, based on mandated third party payer guidelines to insure consistency and decrease denials.
Job Description:
· Reviews and analyzes patient records and translates all diagnostic and procedural terminology. Verifies providers assignments based on applicable CPT and ICD-10 codes and overall coding conventions.
· Reviews, researches and resolves all coding rejections for assigned specialties through the use of work queues.
· Reviews assigned Provider EpicCare/Haiku charge work queues for documentation and coding appropriateness. Provides feedback and training directly to the Provider. Reports any system errors to Supervisor/Director
· Works directly with Resolute Analysts in building internal charge scrubbers based on denial trends in order to decrease back end denials.
· Serves as liaison to the physician/provider. Coordinates meetings with physicians.
· Meets with assigned physicians and non-physicians practitioners to review charges and denials in order to educate and insure the reduction in denials
· Provides and/or assists in the training of new personnel
· Reviews all new insurance updates and disperses to proper providers/physicians/office staff
· Attends reimbursement seminars and department meetings as required
· Meet with specific payer representative, with a CBO supervisor, to discuss and resolve various group issues
· Convey the results of the payer specific meetings to all group employees affected
· Review monthly correspondences from the payer and convey all relevant changes to those impacted
· Attend payer meetings/seminars
· Maintain a good working relationship with collaborating Claims Representatives.
· Develop an over all good understanding of payer guidelines and act as the first contact point for all claim/physician reps with payer specific questions
· Assists Supervisor in maintaining payer-specific issue list.
· Maintain payer-specific issue list
· Provide resolution suggestions for payer issues
· Assists in training CBO new hires on assigned payer protocols
Job Type and Work Location: Full-time; Remote
Pay: $22.85 - $39.47 per hour
Expected Hours: 40.00 per week
Benefits:
• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Retirement plan
• Vision insurance
Schedule:
• Day shift
• Monday to Friday
• No weekends
Experience:
• Epic EMR: 1 year (Preferred)
• Previous coding in outpatient, ambulatory, or ASC setting: 1 year (Required)
License/Certification:
• Certified CCS, CCS-P, CPC or CRC (Required)
Job Type: Full-time
Pay: $22.85 - $39.47 per hour
Expected hours: 40 per week
Benefits:
• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program
• Vision insurance
Schedule:
• Day shift
• Monday to Friday
• No weekends
Application Question(s):
• Please list the coding certification(s) that you hold
• This is a 100% remote position that requires applicants to reside in either New York, Florida, Tennessee, North Carolina, or South Carolina. Do you reside in one of these states?
Work Location: Remote
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