[Hiring] Medical Coder III @Decypher

Role Description

Medical Coder III is a senior coding role requiring advanced expertise in ICD-CM, ICD-PCS, CPT, HCPCS, reimbursement methodologies, and medical coding regulations to accurately support institutional and professional healthcare coding operations. In this role, you will have the opportunity to apply your knowledge of clinical documentation, healthcare compliance, revenue cycle management, EHR workflows, and coding audit principles to ensure accurate reimbursement, regulatory compliance, and continuous process improvement.

Qualifications

• Five (5) years of medical coding and/or auditing experience in two (2) or more medical, surgical, and ancillary specialties within the past 10 years; OR
• Three (3) years of medical coding or auditing experience if that experience was in a Military Treatment Facility.
• A minimum of one (1) year of performance in the specialty is required to be documented to be considered qualifying. Inpatient coding is required.
• Education: Completion of ONE of the following:
• Associate's Degree or higher in Health Information, Healthcare Administration, or Biological Science
• University Certificate in medical coding
• At least 30 semester hours university/college credit that includes relevant coursework such as anatomy/physiology, medical terminology, health information management, or pharmacology
• Successful completion of AAPC or AHIMA coding certification preparation course for professional services or facility coding
• Successful completion of a training course beyond apprentice level for medical technicians, hospital corpsmen, medical service specialists, or hospital training from the Armed Forces or U.S. Maritime Service
• Certification: Must have one certification from each group for a total of 2 certifications.
• Professional Certification: AAPC CPC or AHIMA CCS-P
• Institutional Certification Professional: AAPC CIC or AHIMA CCS
• Institutional Certification: AIHMA RHIA or AHIMA RHIT
• Medical Coding Test: minimum 80% passing score

Requirements

• Advanced knowledge of ICD-CM, PCS, HCPCS, and CPT coding systems
• Advanced knowledge of reimbursement systems, including PPS, DRGs, APCs, and RBRVS
• Advanced knowledge of industry nomenclature, medical and procedural terminology, anatomy and physiology, pharmacology, and disease processes
• Practical knowledge of medical specialties and diagnostic/therapeutic procedures
• Practical knowledge of Government rules and regulations regarding medical coding and reimbursement guidelines
• Practical knowledge of clinical documentation improvement and continuous process improvement processes
• Practical knowledge of EHR systems and workflows pertaining to medical coding
• U.S. Citizenship is required

Benefits

• New Hire Bonus Opportunity:
• Full Performance: Earn a $6,000 bonus for meeting all position requirements
• Developmental: Earn a $3,000 bonus while working toward full qualifications
• Compensation: $28.98 to $35 per hour + H&W
• Flexible scheduling Sunday–Saturday, up to 40 hours per week

Work Environment and Schedule

• 100% Remote
• May be required to lift 20-25 pounds independently
• Position requires long periods of sitting and the ability to use a computer
• Currently hiring remote medical coders in various states