Job Description

Title : Medical Coder II, ENT

Location : Fully Remote

Schedule : Monday - Friday, 8AM - 4:30PM EST

Start Date: ASAP

Job Summary:

The Coder II is responsible for abstracting and assigning valid CPT, ICD-9/10, and HCPCS codes to ensure appropriate reimbursement in accordance with federal, state, and private health plans as well as organization and regulatory guidance. This position is responsible for identifying compliance concerns, trends, and educational opportunities to ensure proper coding, documentation, and accuracy of billing within their areas of responsibility/specialty. The Coder II is able to work independently with limited oversight and may require direction from supervisor or more senior co-workers on complex cases.

Responsibilities :

• Accurately abstracts information from the service documentation, assigns appropriate CPT, ICD-9/10, and HCPCS codes into the appropriate billing systems, ensuring compliance with established guidelines.
• Communicates professionally with providers, practice management, and other stake holders either verbally or in writing.
• Responsible for working encounters in the coding work queue or task lists in a timely manner.
• Meets or exceeds organizational coding production and quality standards.
• Understands and applies regulatory changes and stays current with coding updates, for example NCCI and MUE edits.
• Identifies trends and educational opportunities to ensure proper coding, documentation, and accuracy of billing within areas of responsibility/specialty.
• Reviews and resolves denials.
• Participates in special projects and completes other duties as assigned.

Education / Experience / Accreditation:

• High school diploma or equivalent required.
• Minimum of two years of physician coding experience required.
• Previous Electronic Health Record experience preferred.

License / Certification:

• Coding Certification through American Health Information Management Association (AHIMA) as Certified Coding Specialist (CCS) or Certified Coding Specialist Physician Based (CCS-P)
• or the American Academy of Professional Coders (AAPC) as a Certified Professional Coder (CPC) required.

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