• Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes. • Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage Documents (LCD/NCD) directives, Medically Unlikely Edits (MUEs), and Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers.

Role Description This position exists to provide accurate and timely clinical data for billing and optimal reimbursement, quality assessment, comparative databases, physician profiling, and administrative purposes. This position is responsible for, but not limited to, physician coding, outpatient facility coding, or rectifying pre-bill coding related edits and coding related denials. - Independent coding meeting production and quality metrics. Responsibilities of Role - Surgery coding - Will interact with the Quality Team and physicians. Qualifications - Coding Certifications Requirements - Requires High School Diploma or equivalent. RHIA, RHIT, CCS, CCS-P, COC, or CPC credential required. Acceptable credentials or experience may vary depending on type of role (physician coding, facility coding, pre-bill coding edits). - Requires ability to read, understand and interpret medical records and other treatment documentation. - Requires a high level of interpersonal, problem solving, and analytic skills. - Requires the ability to establish and maintain collaborative working relationships with others. - Requires effective written and verbal communication skills. - Requires strong attention to detail, problem solving and critical thinking skills. - Requires ability to work with and maintain confidential information. Benefits - Access to diverse opportunities to learn and develop in meaningful ways. - Advanced clinical training. - Leadership development. - Promotion opportunities. - Cross training development.

Role Description A Medical Biller works in healthcare facilities and is responsible for submitting claims to insurance companies. Everyday responsibilities include: - Processing data from medical coders - Ensuring claims get processed and paid - Verifying insurance coverage - Reviewing denied claims - Assisting patients with billing questions TASKS: - Managing inbound calls from and outbound calls to patients, providers, and healthcare insurance companies regarding inquiries, appointments, and data verification - Maintaining great phone etiquette - Helping with denials and follow-ups - Correcting denial claims and resubmitting claims - Submitting electronic and paper claims to primary, secondary, and third-party insurance companies - Recording and verifying explanation of benefits - Providing administrative support that includes: - Data entry - Verifying insurance, follow-ups, and authorizations - Following up on and conducting collections as to outstanding balances and receivables Qualifications - Interested in US Healthcare Claims Customer Service - Must have excellent verbal and written English communication skills - Customer service experience in Insurance Billing - HIPAA Certification is a plus - Excellent time management - Strong attention to detail - Impartial - Highly organized - Computer savvy - Great work attitude and willingness to go the extra mile - Open to working night shifts Requirements MINIMUM SYSTEM REQUIREMENTS: - PRIMARY SYSTEM: - Computer Processor: Intel Core i5-6000 (6th Gen or higher) or AMD Ryzen 5 or higher - Computer Memory/RAM: 8.00 GB - Computer Operating System: At least Windows 11 64-bit or macOS Ventura - Headset: Any USB-type headset with noise-cancelling feature - Camera: Capable of a clear and crisp video output - BACK-UP SYSTEM: - OPTION 1 (BACKUP SYSTEM): - Computer Processor: Intel Core i5-6000 (6th Gen or higher) or AMD Ryzen 5 or higher - Computer Memory/RAM: 8.00 GB - Computer Operating System: at least Windows 11 64-bit or macOS Ventura - Headset: Any USB-type headset with noise-cancelling feature (Optional) - OPTION 2 (POWER SUPPLY - UPS): - Must be capable of powering your work station for at least 3 hours - Typically a device with 240Wh or higher will be sufficient - Must be capable of accepting all the plugs required to maintain the primary device and work environment (device, monitor, modem, cell phone if using as internet backup) - PRIMARY INTERNET CONNECTION: - DSL / Fiber Connection - Minimum of 100mb/s contracted - BACK-UP INTERNET CONNECTION: - Minimum of 20mb/s (Cell) Benefits - Starting rate is $800 (USD) monthly - Employment Type: Independent Contractor - Free Training - Paid Time Offs - HMO Coverage - Optical Rewards - Performance-Based Increase - Permanent Work From Home

Title: Coder Physician Billing | Revenue Cycle - Team 5 - Surgery Location: FL, GA, MO, PA, SC, NC, TN, or TX United States Job Description: Overview Coder, Physician Billing Ensure accurate coding and support compliant, efficient billing-playing a key role in optimizing revenue cycle performance. Work Style: Remote Location Requirement: Must reside in an approved state (FL, GA, MO, PA, SC, NC, TN, or TX) FTE: Full-Time (1.0 FTE) Reviews and analyzes medical records to assign accurate diagnostic and procedural codes in compliance with established coding guidelines and organizational policies. Collaborates with healthcare providers to clarify documentation, resolve coding discrepancies, and ensure the integrity of coded data for billing and reporting purposes. Maintains current knowledge of coding standards, including ICD, CPT, and HCPCS, and supports the billing process by providing precise coding for claims submission. Participates in auditing activities, supports staff training on coding procedures, and monitors productivity and quality metrics to drive continuous improvement. Responsibilities Key Responsibilities: - Reviews and analyzes medical records to assign accurate diagnostic and procedural codes - Ensures compliance with coding guidelines and organizational policies - Collaborates with healthcare providers to clarify documentation and resolve discrepancies - Maintains the integrity of coded data for billing and reporting purposes - Supports the billing process by providing accurate coded information for claims submission - Conducts audits and monitors productivity and quality metrics to drive performance improvement - Assists in training staff on coding procedures and updates Qualifications Education: - High School Diploma - Required Certification / Licensure: - Certified Professional Coder (CPC) - Required at time of hire - Please note: CPA-A does not meet the certification requirements for this role. - 3+ years of experience in medical coding or health information management - Knowledge of ICD-10-CM, CPT, and HCPCS coding standards - Experience reviewing medical records and assigning accurate codes - Strong attention to detail with a focus on compliance and regulatory requirements - Ability to collaborate with healthcare providers to clarify documentation and resolve discrepancies