Remote Medical Coder

Surgical Information Systems - Diamondhead, MS

Full-time - Entry Level

Hybrid - Diamondhead, MS

Ambulatory Health Care Services

About the position

The Medical Surgery Coder will play a key role in reviewing and analyzing medical billing and coding for processing. The Medical Surgery Coder will review and accurately code ambulatory surgical procedures for reimbursement.

Responsibilities

• Obtain operative reports
• Obtain implant invoices, implant logs, and pathology reports as applicable
• Support the importance of accurate, complete and consistent coding practices for the production of quality healthcare data
• Adhere to the ICD-9/ICD-10 coding conventions, official coding guidelines approved by CPT, AMA, AAOS, and CCI
• Use skills and knowledge of the currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes
• Assign and report the codes that are clearly supported by documentation in the health record
• Consult physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record
• Strive for the optimal payment to which the facility is legally entitled
• Assist and educate physicians and other clinicians by advocating proper documentation practices
• Maintain and continually enhance coding skills, required to maintain 90% or above coding accuracy average
• Code a minimum of 50 cases on a daily basis
• Assure accurate operative reports by checking spelling, noting omissions and errors and returning to transcription for correction
• Code all third party carriers and self-pay cases equitably for patient services and supplies provided
• Adhere to OIG guidelines regarding diagnosis coding accuracy and claim forms
• Be involved in denials of claims for coding issues
• Complete code disagree forms and provide supporting documentation for approval
• Ensure coding site specifics are updated as needed for each center assigned
• Identify and track all cases that are not able to be billed due to lacking information
• Perform month end tasks within the established timeframe including running month end reports and tracking cases
• Participate in in-house audit process to ensure quality and accuracy of claims

Requirements

• High school graduate or GED certification
• Required certification in one of the following: CPC, RHIA, RHIT
• Successful completion of formal education in basic ICD-9-CM/ICD-10/CPT coding, medical terminology, anatomy/physiology and disease process
• Knowledge of computers and Windows-driven software
• Excellent command of written and spoken English
• Cooperative work attitude toward and with co-employees, management, patients, outside contacts
• Ability to promote favorable company image with patients, insurance companies, and general public
• Ability to solve problems associated with assigned task
• Minimum of 2 years acute care coding experience of all patient types Surgical, Outpatient, Inpatient, SDS and ER, with strong experience in Inpatient

Benefits

• Benefit package including Medical, Vision, Dental, Short Term Disability, Long Term Disability, and Life Insurance
• Vacation/Sick time
• 401(k) retirement plan with company match
• Paid Holidays
• SIS Cares Day
• Hybrid environment depending on the role