Certified Medical Coder

• Location: Remote
• Department: Revenue Cycle Management
• Schedule: Full-time | Day Shift 

Responsibilities

• Abstract & Code Records: Abstract relevant medical information and assign accurate ICD, CPT, and HCPCS codes to establish DRG or APC assignments, including handling complex cases.
• Query & Collaborate: Query physicians to clarify ambiguous, incomplete, or unclear record documentation, and provide appropriate education to physicians and associates.
• Audit & Comply: Conduct internal coding and physician documentation audits while maintaining strict adherence to AHIMA's Standards of Ethical Coding and official guidelines.
• Perform & Stay Current: Maintain required productivity and quality standards while continually keeping up-to-date with evolving coding, compliance, and reimbursement rules.

Qualifications

Licensure / Certification / Registration:

• One or more of the following:
  • Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date. All specialties accepted.
  • Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date. All specialties accepted.
  • Coder specializing in Cardiac credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date.
  • Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
  • Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.

Education:

• High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
  • Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.

Additional Preferences: 

• 40 hours a week | M-F | Hours between 6 Am - 6 Pm Central Time Zone | No weekends or holidays
• Minimum 3–5 years of professional fee coding experience in a multi-specialty or hospital-based environment.
• Prior experience with E/M leveling, and complex specialty coding; Extensive experience in Cardiology and Electrophysiology.  Familiarity with revenue cycle operations, charge capture, edits, and denials management.  Experience with electronic health records (EPIC preferred) and coding workflow tools (encoder).
• Knowledge of CPT, HCPCS, ICD-10-CM, CMS guidelines, NCCI edits, and payer-specific policy requirements