• Ability to time manage, pull reporting, and maintain consistent AR work in a remote setting. • Position reviews charge data entry for accuracy to bill clean claims and works with other internal department to troubleshoot and resolve outstanding service and claims errors. • Performs daily compressive follow up on billed claims for rejections, denials, payment, rebilling, and reprocessing to ensure timely and accurate payments from contracted and non-contracted insurance payers. • Research and resolve incorrect payments following account to final compliant reconciliation and perform appropriate adjustments to accounts where relevant in post payment review. • Answer patient inquiries by phone regarding outstanding account balances and insurance guidelines. • Updates and maintain patient demographics and other information as needed in the EMR to ensure full account accuracy while maintaining strictest confidentiality adhering to all HIPAA guidelines. • Work routine correspondence; performs in office functions as necessary and is available to the supervisor to perform other duties as assigned.

Role Description The Certified Coder is responsible for ensuring that charges are assessed and entered in compliance with applicable coding regulations, standards, policies, and guidelines as established by CMS and the various third-party payers. This requires a thorough understanding of CCI edits and payer rules regarding medical necessity and bundling of services. The Coder is also responsible for assisting with provider inquiries regarding documentation standards as well as providing pertinent feedback to providers regarding the quality of clinical documentation. Coders may work remotely from home, which requires appropriate internet connectivity and physical space to complete work while maintaining HIPAA standards. Qualifications - High School graduate or GED. - Formal coder training strongly preferred. - Certified Professional Coder or similar certifications (CCA, CPC, CCS, etc...) - Minimum of three years of medical coding experience required. - Previous experience with electronic medical records and billing systems required. - Previous experience in procedure coding preferred. - Advanced education may be substituted for some experience. - Skill in using computer and calculator. - Basic skills with Excel spreadsheets. - Knowledge of medical billing and patient accounting services. - Knowledge of medical coding and clinic operating policies and procedures. - Thorough knowledge of regulations, policies, and procedures established by CMS and various third-party payers related to coverage, medical necessity, and bundling of services. - Knowledge of the organization’s policies and procedures. - Ability to examine clinical documentation for accuracy and completeness. - Ability to prepare records in accordance with detailed instructions. - Ability to work effectively with co-workers and supervisors as a team member. - Ability to communicate clearly. - Upholds effective work habits including, but not limited to, regular attendance, teamwork, initiative, dependability, and promptness. - Thorough understanding of ICD-10 and CPT coding required. Benefits - Medical, dental, vision, life insurance. - Flexible spending. - Short term and long term disability. - Several retirement account options with 401K organization match. - Nurse residency program. - Tuition assistance. - Student loan reimbursement. - On-site training and education opportunities. - Employee Discounts to phone providers, local restaurants, tickets to shows, apartment applications, and much more!

• Perform complex medical coding for adverse events, medical history, procedures, and concomitant medications using MedDRA and WHODrug dictionaries. • Review and validate coding performed by other coders to ensure consistency and accuracy. • Identify ambiguous or unclear terms and query clinical sites for clarification. • Maintain coding conventions and ensure alignment with study-specific and sponsor requirements. • Conduct ongoing coding checks during data cleaning cycles and prior to database lock. • Participate in the resolution of coding discrepancies, queries, and coding-related data issues. • Review safety data for coding accuracy in collaboration with medical monitors and safety teams. • Assist in the preparation of coding-related metrics, reports, and quality documentation. • Participate in vendor oversight activities when coding tasks are outsourced. • Stay current with updates to MedDRA and WHODrug dictionaries and communicate relevant changes to project teams. • Work closely with clinical data management to ensure proper term collection and standardization. • Partner with safety teams to support expedited reporting, signal detection, and regulatory submissions. • Support biostatistics and medical writing with queries related to coded terms for analyses and study reports.

• Responsible for accurate and timely coding of hospital inpatient, outpatient and/or professional fee encounters using appropriate codes • Develop methodology to provide a coding process compliant with regulatory agencies • Serves as an expert resource for coding systems and regulatory guidelines • Performs provider and peer coding audits as requested