Medical Coder

5 days ago

New York, United States Motion Recruitment Full time

Our client, a pedriactic focused healthcare organization, is actively looking for a Medical Coder to join their team This role is 100% remote however should be comfortable working EST hours.


***This is a contract role through Jan 1, 2025. There is opportunity for extension based on performance.***


This Medical Coder will be responsible for assisting the company's provider team in the accurate coding of patient medical records. This person will serve as a subject matter expert in ICD-10-CM, CDPS, CPT, Telehealth, and Behavioral Health Services. Familiarity with E&M and HEDIS is absolutely required


Responsibilities

  • Account for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. This is done in adherence with ICD-10-CM Official Guidelines for Coding and Reporting
  • Analyze and audit medical records to identify documentation deficiencies and determine opportunities for education and documentation improvement
  • Evaluate diagnostic and procedural information for compliance with applicable state and federal guidelines and internal policies and procedures
  • Assign codes for encounter submission, research and comply with regulatory requirements and guidelines
  • Follow coding conventions and serve as coding consultant to care providers
  • Identify discrepancies, potential quality of care, and coding issues to discuss with Coding Manager.
  • Research, analyze, recommend, and facilitate plan of action to correct discrepancies and prevent future coding errors utilizing coding queries and provider education
  • Communicate and provide clear education to providers under the supervision of the Coding Manager
  • Submit charges to payors and work A/R as needed


Required Skills & Experience

  • Certified Professional Coder (CPC) Certification Required
  • Experience in Pediatrics Required
  • Telehealth and Behavioral Health preferred
  • 3 to 5 years’ experience with physician office billing and coding
  • Understanding of CPT (and E&M), HCPCS, HEDIS and ICD-10 is required
  • Previous experience with Medicaid and commercial payers

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