Progressive logo
Progressive

Established in 1937, Progressive Insurance is one of the largest car insurance providers in the U.S. Along with insuring cars, Progressive insures RVs, commerci

Medical Coder

Location

Washington + 1 moreAll locations: Washington | Oregon

Posted

32 days ago

Salary

$24 - $26 / hour

Seniority

Entry Level

Professional Certificate

Job Description

Medical Coder

Progressive

Medical Coder Job Number: 259520 Category: Claims Location: Everett, WA Remote Type: Hybrid Remote Job Level: Experienced Progressive is dedicated to helping employees move forward and live fully in their careers. Your journey has already begun. Apply today and take the first step to Destination: Progress. As a medical coder on our team, you’ll play a vital role in ensuring our claims process runs smoothly and efficiently for our customers. Attention to detail is invaluable as you review and enter medical billing information, ensure billing codes correspond with and support medical records, and apply applicable fee schedules and coding rules while making appropriate adjustments. The ideal candidate will have strong customer service and interpersonal skills – which you’ll rely on while assisting medical representatives with coding questions and answering calls from customers, providers, billing offices and attorneys. This is a hybrid role. You’ll be expected to report to an office about four days per month for important meetings, training, and collaboration and will have the benefit of continued coaching from a supportive team. If you prefer an in-office environment, you’re welcome to work in the office more than four days per month. You must reside within 30 miles of Progressive's Everett, WA / Federal Way, WA / or Tigard, OR Claims office. Duties & responsibilities - Review health insurance EOB’s (Explanation of Benefits) on excess claims to ensure proper payment - Ensure AOB (Assignment of Benefits) has been submitted to provider (in states where applicable) - Providing timely bill processing per state guidelines Must-have qualifications - High school diploma or GED equivalent - One year of experience as a medical coder or coding certification Preferred skills - Strong data entry skills and telephone use - Thorough knowledge of anatomy and medical terminology - Knowledge of medical coding rules and local statutes - Proficient in the use of the Internet - Must successfully obtain and maintain required state licenses .Schedule: Monday - Friday, 8am to 5pm Compensation - $24.03 - $26.68/hour - Gainshare annual cash incentive payment up to 16% of your eligible earnings based on company performance .Benefits - 401(k) with dollar-for-dollar company match up to 6% - Medical, dental & vision, including free preventative care - Wellness & mental health programs - Health care flexible spending accounts, health savings accounts, & life insurance - Paid time off, including volunteer time off - Paid & unpaid sick leave where applicable, as well as short & long-term disability - Parental & family leave; military leave & pay - Diverse, inclusive & welcoming culture with Employee Resource Groups - Career development & tuition assistance

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Title: Senior Coding Specialist (Multi-Specialty) Location: Remote $30-32/hourly *This role is a remote US based position *The ideal candidate will have a strong multispecialty background to include surgery, Interventional Radiology and E/M SCOPE/GENERAL PURPOSE OF JOB: The Senior Coding Specialist is responsible for abstracting all E/M, CPT, HCPCS, ICD-10-CM, modifier, units from the medical record documentation. Other responsibilities include accurately entering data into coding/billing software and/or Excel reports. Performing accurate coding using applicable guidelines and facility protocols and communicating with staff and/or providers as needed. Provide written feedback of coding results as needed in the form of comments, summary of findings and recommendations. Ensure compliance with federal and state laws, regulations and standards related to health information and coding principles. ESSENTIAL DUTIES AND RESPONSIBILITIES: - Assign ICD-10 CM and CPT codes with modifiers for services provided in the facility environment (Ancillary, ED, Evaluation and Management, Observations, Outpatient surgeries, and/or Professional fee coding) depending on the specific client assignment. - Demonstrates thorough understanding and ability to research all aspects of coding, compliance, documentation and reimbursement for assigned clients and specialties. - Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses. - Ensures diagnosis codes meet local and national medical necessity guidelines. - Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all assigned services. - Maintains and delivers accurate client worksheets and deliverables. - Must maintain accurate records of time spent. - Monitors clients for potential compliance concerns and communicates concerns with leadership. - Demonstrates the technical competency to use the facility encoder as it interfaces with the hospital/physician mainframe and/ or EMR in remote setting. - Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance. - Review and resolve coding edits and denials. Assists with rebilling accounts when necessary. - Assist with periodic client updates and provider education/documentation improvement. - Identifies trends with provider documentation provides proactive documentation improvement suggestions. - Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding. - Must meet all coder productivity and quality goals. - Maintain a 95% accuracy rate. - Other duties as assigned. EDUCATION AND/OR EXPERIENCE: - High School Diploma or GED required. - Minimum of four (4) years professional fee coding job experience unless otherwise noted by management. - Ability to code multiple specialties as a Subject Matter Expert with a sustained accuracy and productivity rate. - Ability to do research on coding questions and present as needed to team. - Must be a certified coder through AAPC or AHIMA (CPC, COC, CCS, CCS-P, RHIT, RHIA) - Knowledge of ICD, CPT, HCPCS, Anatomy, Physiology, Medical Necessity, Modifiers, and Denials. - Excellent writing and interpersonal sills - Ability to work independently. QUALIFICATIONS: Knowledge Areas: - Organizational policies and procedures. - Knowledge of coding documentation and reimbursement. - Health care administration and business principles. - Clinical processes and procedures as they relate to healthcare coding. - Health insurance policies and procedures, particularly as they relate to claims processing. - Apply knowledge of anatomy, clinical disease process and medical terminology to ensure accurate procedure, supply and diagnosis code assignment. Skills: - Ability to communicate effectively and professionally with coding staff, clinical staff and administrative staff. - Must be highly detailed with outstanding analytical and writing skills and the ability to communicate professionally with clients and employees. - Ability to establish and maintain effective professional working relationships with all employees and clients. - Requires analytical, organizing, planning and problem-solving abilities - Exercises initiative, judgment, discretion and decision-making to achieve business unit objectives. - Identifies problems and suggests resolution. - Must be competent and comfortable with MS Word, Excel & PowerPoint.

United States
$30 - $32 / hour
Rochester Regional Health logo

Lead Coder

Rochester Regional Health

Rochester Regional Health is a physician-led, integrated hospital and healthcare organization serving over 1 million residents across central and western New York. Headquartered in

• Provides leadership and subject matter expertise to the coding team • Ensures daily operational functions are met • Supports coding quality and compliance • Assists with complex coding questions and workflow improvements • Balances hands-on coding responsibilities with mentoring and auditing • Collaborates with various departments to resolve coding-related issues • Provides education and guidance related to documentation and coding best practices

New York
$23 - $33 / hour
Job Closed
Full TimeRemoteTeam 51-200Since 2014H1B No Sponsor

• Prepare and organize medical billing documentation to ensure accurate and timely claim submission • Review patient records for completeness and accuracy prior to billing • Accurately enter and update billing data in the system and internal tracking tools • Support billers and coders by ensuring all required documentation is complete and readily available • Verify insurance information and identify discrepancies for escalation to the billing team • Monitor claim status and maintain updated records in internal systems • Assist in resolving minor claim issues and escalate complex concerns to billers or coders as needed • Generate detailed reports on pending, in-progress, and completed tasks • Perform other duties as assigned by the immediate supervisor

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Savista logo

Coding Specialist II - Orthopedics

Savista

An end-to-end revenue cycle services provider serving healthcare organizations for over 30 years.

Full TimeRemoteTeam 1,001-5,000Since 1994H1B No Sponsor

Role Description The Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement. Coder may validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals. The Coder performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements. Coder may interact with client staff and providers. - Select and sequence ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but not limited to: Ancillary (Diagnostic)/ Recurring; Hospital, Clinic; Physician Pro Fee; Technical Fee or Evaluation and Management, any associated chart capturing with any patient type. - Review and analyze facility records to ensure that APC assignments and/or Evaluation and Management codes accurately reflect the diagnoses/procedures documented in the clinical record. - Abstract clinical data from the record after documentation review to ensure that it is adequate and appropriate to support diagnoses, procedures and discharge disposition is selected. - Complete assigned work functions utilizing appropriate resources. May act as a resource with client staff for data integrity, clarification and assistance in understanding and determining appropriate and compliant coding practices including provider queries. - Maintain strict patient and provider confidentiality in compliance with all HIPPA Guidelines. - Participate in client and Savista staff meetings, trainings, and conference calls as requested and/or required. - Maintain current working knowledge of ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements regarding coding and/or billing. - Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials. Qualifications - Candidates must successfully pass pre-employment skills assessment. - An active AHIMA (American Health Information Association) credential including but not limited to RHIA, RHIT, CCS, CCA, or an active AAPC (American Academy of Professional Coders) credentials COC (formerly CPC-H), CCS-P, or CPC or related specialty credential. - Two years of recent and relevant hands-on coding experience. - Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD-10 and CPT/HCPCS code sets. - Ability to consistently code at 95% threshold for quality while maintaining client-specific and/or Savista production and/or quality standards. - Proficient computer knowledge including MS Office including the ability to enter data, sort and filter excel files (Outlook, Word, Excel). - Must display excellent interpersonal and problem-solving skills with all levels of internal and external customers. Requirements - Recent and relevant experience in an active production coding environment strongly preferred. - Associates degree in HIM or healthcare-related field, or combination of equivalent education and experience. - Experience using RCX Cerner, Optum (a plus). Benefits - Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $22.08 - $34.69 an hour. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills. Company Description Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).

United States
$22 - $35 / hour