Professional Coder

Medical Billing and CodingMedical Billing and CodingFull TimeRemoteMid LevelTeam 10,001+H1B SponsorCompany SiteLinkedIn

Location

New Jersey + 1 moreAll locations: New Jersey | Pennsylvania

Posted

128 days ago

Salary

$25 - $33 / hour

Seniority

Mid Level

High School2 yrs expExperience acceptedEnglish

Job Description

Professional Coder

HCA Healthcare

• Responsible for accurately reviewing and assigning Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and ICD-10-CM codes for professional claims billed by Capital Health Medical Group (CHMG) for hospital and outpatient procedures • Accurately applies official coding conventions and rules established by the American Medical Association (AMA) and the Center for Medicare and Medicaid Services (CMS) for assignment of procedural and diagnostic codes • Reviews procedure documentation for accurate assignment of ICD-10-CM diagnosis, current procedural terminology (CPT-4) codes and modifiers • Ensures appropriate coding of evaluation and management services when applicable • Meets or exceeds departmental accuracy and productivity standards • Ensures compliance with national coding guidelines and Capital Health's policies for complete, accurate and consistent coding resulting in appropriate reimbursement and data integrity • Fosters teamwork and collaboration • Addresses professional coding pre-bill edits timely to ensure minimal days in DNFB • Acts as a subject matter expert for professional coding

Job Requirements

  • Candidates must reside in the New Jersey/Pennsylvania area
  • High school diploma or equivalent
  • Certified Professional Coder-Apprentice (CPC-A), Certified Professional Coder (CPC), or Certified Coding Specialist-Physician (CCS-P) certification required
  • Associate's degree in health information management preferred
  • Two years' experience in physician coding role preferred
  • ICD-10-CM, CPT-4 and HCPCS coding experience preferred
  • One year surgical coding experience preferred
  • Knowledge and Skills: Excellent verbal and written communication skills
  • Strong knowledge of surgical coding guidelines
  • Knowledge of pathophysiology and disease processes
  • Special Training: Physician coding and training certification
  • Proficient with Microsoft applications to include Outlook, Word, Excel, PowerPoint
  • Medical Terminology, Anatomy and Physiology, or Pathophysiology knowledge
  • CPC-A, CPC, or CCS-P required

Benefits

  • Medical Plan
  • Prescription drug coverage & In-House Employee Pharmacy
  • Dental Plan
  • Vision Plan
  • Flexible Spending Account (FSA) - Healthcare
  • FSA - Dependent Care
  • Retirement Savings and Investment Plan
  • Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
  • Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
  • Disability Benefits – Long Term Disability (LTD)
  • Disability Benefits – Short Term Disability (STD)
  • Employee Assistance Program
  • Commuter Transit
  • Commuter Parking
  • Supplemental Life Insurance - Voluntary Life
  • Spouse - Voluntary Life
  • Employee - Voluntary Life
  • Child Voluntary Legal Services
  • Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
  • Voluntary Identity Theft Insurance
  • Voluntary Pet Insurance
  • Paid Time-Off Program

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