Charge Corrections Medical Coder

Role Overview

• Review multi-specialty inpatient and outpatient and clinical Charge Correction requests for ICD-10, CPT and HCPCS coding for accuracy and make necessary corrections
• Review LCD and NCD criteria and insurance billing guidelines
• Report any changes as necessary to collections teams
• Electronically file replacement claims and some payment posting as needed
• M-F onsite training for approx. 3-6 months
• After training hybrid with 90% being remote/working from home

Requirements

• High School Diploma/GED (relevant experience may be substituted for formal education)
• 1+ years of medical coding experience
• AAPC CPC or AHIMA CCS coding certification
• Experience in ICD-10, CPT and HCPCS Level II Coding
• Ability to determine medical necessity of services provided and charged based on provider/clinical documentation
• Knowledge, understanding and proper application of Medicare, Medicaid, and third-party payer HCFA-1500 billing and reporting requirements
• Ability to determine accurate medical codes for diagnoses, procedures and services performed in the emergency department, inpatient and outpatient settings
• Knowledge of current code bundling rules and regulations along with ability on issues of compliance, and reimbursement under outpatient grouping systems
• Ability to use MS Excel

Benefits

• Medical, Rx, Dental & Vision Insurance
• Personal and Family Sick Time & Company Paid Holidays
• Position may be eligible for a discretionary variable incentive bonus
• Parental Leave
• 401(k) Retirement Plan
• Basic Life & Supplemental Life
• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
• Short-Term & Long-Term Disability
• Tuition Reimbursement, Personal Development & Learning Opportunities
• Skills Development & Certifications
• Employee Referral Program
• Corporate Sponsored Events & Community Outreach
• Emergency Back-Up Childcare Program