Senior Medical Coder

The Senior Medical Coder performs concurrent review of FFS coding rules, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. This position will support coding functions within charge review, claim edits, and denials and play a critical role in maintaining coding accuracy and supporting revenue cycle integrity.

Schedule: Monday to Friday, 8am – 5pm

Location: Remote Nationwide

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

Apply understanding of relevant medical coding subject areas (e.g., diagnosis, procedural, evaluation and management, ancillary services) to assign appropriate medical codes
Apply understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable medical codes
Identify areas in clinical documentation that are unclear or incomplete and generate queries to obtain additional information
Follow up with providers as necessary when responses to queries are not provided in a timely basis
Utilize medical coding software programs or reference materials to identify appropriate codes
Apply post-query response to make final determinations
Apply relevant Medical Coding Reference, Federal, State, and Professional guidelines to assign and record independent medical code determinations
Manage multiple work demands simultaneously to maintain relevant productivity and turnaround time standards for completing medical records (e.g., charts, assessments, visits, encounters)
Resolve medical coding edits or denials in relation to code assignment
Provide information or respond to questions from medical coding quality audits
Educate and mentor others to improve medical coding quality
Demonstrate basic knowledge of the impact of coding decisions on revenue cycle
Other duties as assigned
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

High School Diploma/GED
Coding certification from AAPC or AHIMA Professional Coding Association: (CPC, CPC-H, CPC-P, RHIT, RHIA, CCA, CCS, CCS-P etc.)
3+ years of Pro-Fee (fee for service) coding experience including with multiple specialties
Advanced level of proficiency/knowledge of ICD-10-CM, CPT, Modifiers & HCPCS coding classification and guidelines
Advanced level of proficiency/knowledge of medical terminology, disease process and anatomy and physiology

Preferred Qualifications:

Epic experience
1+ years of revenue cycle experience