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Physician Coding Specialist
@Virtualstaffing
[Hiring] Physician Coding Specialist @Virtualstaffing
Mar 14, 2025 - Virtualstaffing is hiring a remote Physician Coding Specialist. 💸 Salary: unspecified. 📍Location: Worldwide.
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Role Description
The Physician Coding Specialist is responsible for analyzing medical records to ensure accurate and efficient coding practices, and compliance with regulatory standards. This role will have a subspecialty in lab billing, dermatology specific treatments, ASC billing, and cancer screening.
- Review medical records and assign appropriate ICD-10, CPT, and HCPCS codes for all dermatology visits/procedures and diagnoses.
- Ensure compliance with federal and state regulations, payer guidelines, including Medicare and Medicaid guidelines and company policies.
- Assist with coding-related audits and compliance efforts.
- Identify coding deficiencies by provider and practice and communicate this directly to the Medical Coding Auditor.
- Work closely with Dermatology physicians, advanced practice providers, nurses, and administrative staff to ensure accurate coding and billing.
- Analyze requirements, test systems, export data in EDI formats, and be able to load and transform EDI files into accessible data formats.
- Document all analysis and reporting projects following established department protocols to ensure transparency and repeatability.
- Create and operate within time-based workflows, ensuring charges are submitted within timely guidelines set by individual payers.
- Maintain knowledge of existing and emerging regulatory changes and how they impact operational processes and beyond.
- Collaborate with other departments and trading partners to research, identify and correct systemic data errors and ensure data is of the highest quality.
- Collaborate with revenue cycle leadership to ensure compliance with all claims transmission.
- Maintain professional relationships and collaborate across teams, managing projects, facilitating meetings and presenting in various settings, including senior leadership.
Qualifications
- Minimum of 3 years of experience in coding for dermatology procedures care is required.
- 2+ years of experience in a remote working environment.
- Must have a high school diploma or equivalent certificate.
- Coding certification (e.g., CPC, CCS-P) required.
- In-depth knowledge of ICD-10-CM, CPT, HCPCS coding systems, and medical terminology.
- Hands-on experience having implemented 834 & 837 files for a health plan, build and troubleshoot carrier forms, and ensure accurate and efficient data exchange.
- Proven ability to impact process improvement and efficient operations.
- High level of business and technical knowledge with significant practical experience in healthcare administration or operations preferred.
- Communicate effectively with internal staff and insurance companies.
- Collaborative and humble approach with internal and external resources.
- Able to prioritize and organize daily tasks.
- Strong attention to detail, positive attitude and a proven ability to lead a team to success.
- Proficient in Microsoft Word, Outlook and Excel.
- Knowledge of state regulations.
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| 📍 | Be aware of the location restriction for this remote position: Worldwide |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
Back to Remote jobs >
All others
All others
|
Salary
💸
unspecified
|
Remote
Location
Worldwide
|
|
Job Type
full-time
|
Posted
Mar 14, 2025
|
️
| 📍 | Be aware of the location restriction for this remote position: Worldwide |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
