Elevate your coding career with a remote auditing role in healthcare. Collaborate with leadership to enhance coding accuracy and compliance. Gain valuable expertise in specialty coding and auditing processes.
Professional Fee Coder/Auditor
in Professional Services ContractJob Detail
Job Description
Overview
- Perform professional fee coding and auditing to ensure compliance with industry standards and guidelines.
- Validate patient data and insurance information for accurate claim submissions.
- Provide constructive feedback to physicians and collaborate on coding improvements.
- Utilize expertise in specialty coding and auditing to enhance accuracy and efficiency.
- Maintain high coding production rates and accuracy standards consistently.
- Conduct claim edits, troubleshoot issues, and perform detailed root cause analyses.
- Work remotely in a flexible and autonomous environment with reliable connectivity.
- Collaborate with leadership to optimize revenue cycle management processes.
Key Responsibilities & Duties
- Analyze medical records to ensure accurate coding and compliance with guidelines.
- Prepare and maintain coding logs and production tracking independently.
- Conduct audits and provide actionable feedback on coding practices.
- Demonstrate proficiency in ICD-10 and CPT coding standards for accurate claim preparation.
- Compose compliant feedback for providers to enhance coding accuracy.
- Troubleshoot and resolve issues related to problematic accounts effectively.
- Mentor and train team members in coding and auditing best practices.
- Collaborate with teams to ensure seamless claim submission and billing processes.
Job Requirements
- High School Diploma or GED required; additional certifications are advantageous.
- Credential from AHIMA or AAPC, such as Certified Professional Coder, is mandatory.
- Minimum of 3 years of professional coding experience; 5 years preferred.
- Expertise in risk adjustment coding and HCC-certified coding credentials are preferred.
- Proficiency in Microsoft Office applications and internet-based systems.
- Strong analytical skills and ability to work independently in a remote setting.
- Experience in renal care or value-based care environments is advantageous.
- Excellent written and verbal communication skills for effective collaboration.
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