Job description
Certified
Medical Coder (Remote position - must live within 30 miles from Aiken, SC)
COMPENSATION & BENEFITS:
COMPENSATION & BENEFITS:
- Market competitive compensation program.
- Health, Gym discounts, Dental, Vision, Life, Health Savings Account, Flexible Spending Account, 401(k), Paid Time Off, Paid Holidays, & More.
- Flexible hours.
POSITION SUMMARY:
The Medical Coder processes patient data such as treatment records and related insurance information. The position includes day-to-day input, handling and entering of procedures, diagnostic codes for services rendered, and insurance information received. They also are tasked with coding a patient’s diagnosis, along with a request for payment from the patient’s insurance company. The candidate should possess high critical thinking skills, the ability to analyze and adhere to coding guidelines, and a refined judgment to handle them appropriately. The candidate must be able to work overtime hours as needed.
PRIMARY RESPONSIBILITIES:
- Organizes and prioritizes complex coding work to ensure compliance with regulatory requirements and hospital targets.
- Assigns the most appropriate diagnosis and procedures to reflect the utilization of resources during the patient encounter.
- Recognizes documentation clarification opportunities to ensure it supports all codes and designation assignments. Initiates coding queries or tasks.
- The transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes.
- The ability to comprehend medical terminology and documentation in an office, or surgical setting.
- Understanding the rules, regulations, sanctions and other statutory requirements, guidelines and instructions relating to governing bodies and organizations, both internally and externally.
- Adapts to change by viewing difficult situations and/or problems as opportunities for improvement; actively embraces change.
- Analyzing and solving complex problems using multiple data sources.
- Serves as a clinical coding subject matter expert.
- The responsibilities listed are a general overview of the position and additional duties may be assigned.
Working hours: Flexible Work Schedule, Monday – Friday
Must live within 30 miles of Aiken, SC.
QUALIFICATIONS:
To perform this job successfully, an individual must be able to perform each essential function satisfactorily, with or without reasonable accommodation. The requirements listed below represent the knowledge, skill, and/or ability required. Reasonable accommodations may enable individuals with disabilities to perform essential functions.
EDUCATION and/or EXPERIENCE:
- Minimum High School diploma or equivalent required.
- Active certified coder through AAPC and/or AHIMA required.
- RHIT, RHIA, CPC, CCS, COC, CPC-H, or CCS-P certification required.
- Minimum 2 years of experience as a certified coder.
- Minimum of 1 year EPIC experience preferred.
- Ability to maintain a 97% coding accuracy rate and meet required productivity guidelines.
- Prior knowledge of hospital coding and billing, with a focus on Medicare guidelines, preferred.
- Experience with CCI/LCD, modifiers, and MUE's preferred.
- Prior PC and keyboard knowledge is a mandatory requirement.
SKILLS & ABILITY:
- Exceptional customer service skills consisting of verbal and written communication.
- Ability to converse and respond to common inquiries.
- Strong individual work ethic possessing the ability to work within a team, highly driven, self-starter with the ability to work independently and contribute to a team environment.
- Ability to define problems, collect data, establish facts, and draw valid conclusions.
- Must possess interpersonal skills to handle sensitive and confidential situations.
- Position continually requires demonstrated self-confidence, skill, and diplomacy.
- Communicate concisely and effectively both verbally and written; utilizing proper grammar and telephone etiquette is required.
PHYSICAL DEMANDS:
The physical demands described here represent those that an employee must meet to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
While performing the duties of this job, the employee is regularly required to sit, talk, see, and hear. The employee frequently is required to use their hands to dial a telephone, utilize a computer keyboard and mouse, and operate office equipment. The employee is occasionally required to stand, walk, and reach with hands and arms and lift up to 20 pounds.
WORK ENVIRONMENT:
The employee works in a temperature-controlled office environment. The employee sits at a desk during regularly scheduled work hours, answers and makes telephone calls using a standard telephone, types on a standard keyboard, and reads and comprehends information from a computer terminal and/or written resources.
The company extends equal employment opportunities to qualified applicants and employees on an equal basis regardless of an individual's age, race, color, sex, religion, national origin, disability, veteran status, sexual orientation, gender identity, gender expression, or any other reason prohibited by law.
Qualifications:
Behaviors:
Team Player: Works well as a member of a group
Enthusiastic: Shows intense and eager enjoyment and interest
Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
Dedicated: Devoted to a task or purpose with loyalty or integrity
Motivations:
Growth Opportunities: Inspired to perform well by the chance to take on more responsibility
Self-Starter: Inspired to perform without outside help
Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization
Education:
High School or better.
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