Professional Services Coding Expert

6 days ago


Reno, Nevada, United States Renown Health Full time
Job Summary:

We are seeking an experienced Professional Services Coder to join our team at Renown Health. In this role, you will be responsible for ensuring the accuracy and integrity of coding practices in accordance with industry guidelines and regulations.

About the Job:

This position requires a minimum of 5-8 years of experience in pro-fee coding, preferably in medical billing and EMR workflows. You should have a strong knowledge of anatomy and physiology, pharmacology, disease pathology, and medical terminology. Familiarity with modifiers, ICD-10-CM, CPT (including E/M), and HCPCS coding is also essential.

Your primary responsibility will be to abstract, analyze, and assign accurate codes for diagnoses, treatments, and procedures using computerized or manual systems. You will also research and resolve coding and reimbursement issues to ensure optimal reimbursement and quality metrics.

You will work closely with clinicians and billing/coding teams to communicate code changes, denials, and other related matters. As a mentor to associate and mid-level coders, you will also assist with new coder onboarding training and present education in staff-level meetings.

The successful candidate will possess excellent communication skills, critical thinking, and problem-solving abilities. They must also be able to navigate electronic medical records to identify appropriate documentation for coding/billing.

Responsibilities:

* Assign accurate codes for diagnoses, treatments, and procedures according to ICD-10-CM, CPT, and HCPCS coding systems
* Research and resolve coding and reimbursement issues to ensure optimal reimbursement and quality metrics
* Communicate code changes, denials, and other related matters with clinicians and billing/coding teams
* Mentor associate and mid-level coders
* Assist with new coder onboarding training and present education in staff-level meetings
* Navigate electronic medical records to identify appropriate documentation for coding/billing

Requirements:

* Bachelor's degree in Health Information Management or a related field preferred
* Minimum 5-8 years of experience in pro-fee coding
* Strong knowledge of anatomy and physiology, pharmacology, disease pathology, and medical terminology
* Familiarity with modifiers, ICD-10-CM, CPT (including E/M), and HCPCS coding
* Excellent communication and interpersonal skills
* Critical thinking and problem-solving abilities
* Ability to navigate electronic medical records

Salary: $60,000 - $80,000 per year, depending on experience.

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