[Hiring] Medical Coder II @Med A/Rx

Role Description

The Medical Coding Specialist II is responsible for correctly coding healthcare claims and analyzing denials to obtain proper reimbursement. The Medical Coder accurately and efficiently codes hospital outpatient and professional service using official code sets and classifications systems to obtain the most accurate data based on documentation.

• Read and analyze patient records
• Accurately and efficiently code for a variety of services including but not limited to:
  • Evaluation and management
  • Laboratory
  • Imaging
  • Injections and infusions
  • Specialty surgical procedures in the clinic and hospital outpatient settings
• Monitor, research, and correct claim denials within health plan requirements and document any trends with which to follow-up
• Submits clean claims for payment
• Complies with Federal and State standards utilizing CCI edits, Medicare bulletins, ACR bulletins, etc. to keep abreast of the changes within the industry
• Maintains knowledge of and complies with coding guidelines
• Find documentation in multiple EMR systems such as EPIC, ECW, Cerner, Meditech
• Interacts with clients to ensure accuracy
• Maintain patient confidentiality and information security
• Maintain an error rate of 5% or less
• Must meet production goals assigned by supervisor

Qualifications

• High school diploma or equivalent
• 5 years of on-the-job experience in abstract coding and coding denials for both hospital outpatient and professional claims
• Payor and Policy Research experience
• Experience with Epic platform
• Any of the following certifications by AAPC or AHIMA (Proof of current certification required):
  • Registered Health Information Administrator (RHIA)
  • Registered Health Information Technician (RHIT)
  • Certified Coding Specialist (CCS)
  • Certified Professional Coder (CPC)
  • Or equivalent certification from AAPC or AHIMA

Requirements

• Candidates must be legally authorized to work in the United States at the time of hire
• The company does not provide employment visa sponsorship for this position
• As a condition of employment, a pre-employment background check will be conducted
• At this time, we are unable to consider candidates residing in the state of New York for this position

Benefits

• Comprehensive paid training
• Medical, dental, and vision insurance
• HSA and FSA available
• 401(k) with company match
• Paid Wellness Time and Holidays
• Employer paid life insurance and long-term disability
• Internal growth opportunities