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Medical Coder, OBGYN
Location
United States
Posted
96 days ago
Salary
$25 - $28 / hour
Seniority
Senior
Job Description
Medical Coder, OBGYN
IKS Health
• Reviews medical records to identify pertinent diagnoses and procedures relative to the patient's health care encounter • Abstracts appropriate information from the medical record based on the guidelines provided by the client and after a thorough review of the medical record • Solicits clarification from the physician regarding ambiguous or conflicting documentation in the medical record using guidelines provided by the client • May act as a mentor to training coders and/or new hires by providing education and training • Maintains current knowledge of the information contained in the Coding Clinic, CPT Assistant, and the Official Guidelines for Coding and Reporting • Maintains effective and professional communication skills • Contributes to a positive company image by exhibiting professionalism, adaptability, and mutual respect.
Job Requirements
- CPC, COC, CIC, CCA, CCS, CCS-P, RHIT or RHIA
- Minimum of 3 years of professional fee coding experience, 5 preferred
- Strong skills in Profee OBGYN Clinic & Surgery both office and surgical
- Coding Productivity Expectation: 10 per hour
- Must be able to code Clinic E&M and CPTs
- Experience with EPIC, 3M, 360
- Excellent verbal and written communication skills
- Understands medical terminology, anatomy, physiology, surgical technology, pharmacology, and disease processes
- Extensive knowledge of ICD-10-CM and CPT-4 coding principles and guidelines, reimbursement systems, federal, state and payer-specific regulations and policies pertaining to documentation, coding and billing
- Must pass coding proficiency test.
Benefits
- healthcare
- 401 (k)
- paid time off
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• Provides coding and abstracting services for clients on inpatient, outpatient, and clinic visits for professional fee (physician services) medical records. • Uses established coding principles and software to assign diagnostic and procedural codes after thorough review of the medical record. • Participates in industry forums and supports coding education within the team. • Reviews medical records to identify pertinent diagnoses and procedures. • Abstracts appropriate information based on client guidelines after thorough review. • Solicits clarification from the physician regarding ambiguous or conflicting documentation. • May act as a mentor to training coders and/or new hires.
Role Description As an experienced IKS Health coder, you will be responsible for providing coding and abstracting services for clients on inpatient, outpatient, and clinic visits for professional fee (physician services) medical records using ICD-10-CM and CPT-4 data sets for a wide variety of medical specialties. You will use established coding principles, software and your knowledge and experience to assign diagnostic and procedural codes after a thorough review of the medical record. As a coding team member, you may participate in industry forums as well as support coding education within the team. This position is fully remote. Essential Functions - Reviews medical records to identify pertinent diagnoses and procedures relative to the patient's health care encounter. - Abstracts appropriate information from the medical record based on the guidelines provided by the client and after a thorough review of the medical record. - Solicits clarification from the physician regarding ambiguous or conflicting documentation in the medical record using guidelines provided by the client. - May act as a mentor to training coders and/or new hires by providing education and training. - Maintains current knowledge of the information contained in the Coding Clinic, CPT Assistant, and the Official Guidelines for Coding and Reporting. - Maintains effective and professional communication skills. - Contributes to a positive company image by exhibiting professionalism, adaptability, and mutual respect. Qualifications - CPC, COC, CIC, CCA, CCS, CCS-P, RHIT or RHIA - Must have a minimum of 3 years of professional fee coding experience, 5 preferred. - Must have strong skills in Profee OBGYN Clinic & Surgery both office and surgical. - Coding Productivity Expectation: 10 per hour - Must be able to code Clinic E&M and CPTs - Must have experience with EPIC, 3M, 360 - Excellent verbal and written communication skills. - Understands medical terminology, anatomy, physiology, surgical technology, pharmacology, and disease processes. - Extensive knowledge of ICD-10-CM and CPT-4 coding principles and guidelines, reimbursement systems, federal, state and payer-specific regulations and policies pertaining to documentation, coding and billing. - Must pass coding proficiency test. Compensation and Benefits - The pay range for this position is $25/hr - $28/hr. Pay is based on several factors, including but not limited to current market conditions, location, education, work experience, certifications, etc. - IKS Health offers a competitive benefits package including healthcare, 401(k), and paid time off (all benefits are subject to eligibility requirements for full-time employees). - IKS Health is an equal opportunity employer and does not discriminate based on race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.
JOB DESCRIPTION: We are seeking a detail-oriented and experienced RCM Coding Specialist with CPC (Certified Professional Coder) certification to join our Revenue Cycle Management team. This role is responsible for accurate and timely medical coding in accordance with current coding guidelines, payer requirements, and company standards. The ideal candidate has strong analytical skills, in-depth knowledge of CPT, ICD-10, and HCPCS codes, and a commitment to ensuring compliance and optimizing reimbursement. ESSENTIAL FUNCTIONS: ● Serve as an medical coding subject matter expert who can effectively work with other staff to impart best practices related to revenue cycle management/coding within a telehealth setting. ● Review and abstract clinical documentation to assign appropriate CPT, ICD-10, and HCPCS codes. ● Ensure coding accuracy to optimize reimbursement while maintaining compliance with federal regulations, payer policies, and internal protocols. ● Perform regular audits of coded data to ensure quality and identify opportunities for education or process improvement. ● Stay current with industry changes including coding updates, payer guidelines, and regulatory requirements (e.g., CMS, HIPAA). ● Support RCM team in coding-related appeals or re-submissions. ● Maintain strict confidentiality of all patient, provider, and organizational data. ● Identifies problem areas and trends encountered while working with any team or department and communicates findings to management. ● Remains proficient in the use of specific applications related to the coding team’s function, i.e. billing systems, EMRs, internal portals, team communication tools, etc. ● Other duties as assigned. EDUCATION & EXPERIENCE: ● Certification Required: CPC/CPC-A (Certified Professional Coder) from AAPC. Additional certifications (e.g., CRC, CPC-H) are a plus. ● Experience: Minimum 2–3 years of professional coding experience, preferably in a Revenue Cycle Management setting. ● Education: High school diploma or equivalent required. ● Strong knowledge of medical terminology, anatomy, and physiology. ● Strong organizational and time management skills with attention to detail. ● Proficient in CPT, ICD-10, and HCPCS coding systems. ● Experience with Candid Health billing software is a plus. KNOWLEDGE, SKILLS & ABILITIES: ● Intermediate knowledge of revenue cycle processes and best practices ● Prior experience with coding audits or quality assurance processes. ● Ability to prioritize work and manage time efficiently ● Self-motivated, able to work autonomously, multi-task and switch focus quickly ● Strong organizational skills and attention to detail ● Ability to meet deadlines ● Ability to apply good judgment and expertise ● Excellent written and verbal communication skills ● Experience in multiple specialties
• Responsible for reviewing documents to identify all procedures and diagnosis. • Ensure the encounters have been coded correctly based on documents received. • Ensure encounters are coded using the most current coding guidelines. • Communicate and recognize inadequate or incorrect documentation. • Perform ongoing analysis of medical record documentation and codes assigned per CMS, CPT, and Ventra Health documentation guidelines. • Assign appropriate ICD-10-CM and CPT codes and modifiers according to documentation. • Document coding errors. • Assist with client/provider audits as needed.

