Certified Medical Coder (Remote Production Role)

Job Description

Certified Medical Coder

(Remote Production Role)

Our mission to change wound care and improve the lives of others isn’t easy, but it’s worth it! One in ten residents in a skilled nursing facility will develop a skin condition requiring expert medical care. We believe that every person deserves the very best wound care. Building and leading wound care teams is how we do it! Our wound care providers bring education and encouragement to the people who take care of our patients 24/7. When they get better at their jobs, our patient’s wounds heal faster and that is our goal!

Main Responsibilities (may include but are not limited to):

Meet minimum production goals while maintaining accuracy requirements

Review provider medical coding of services rendered for medical claim submission

Review and respond to medical coding inquiries submitted by providers and staff

Work directly with providers to resolve specific medical coding issues

Analyze data for errors and report data problems

Partner with billing office to correct and resubmit claims based on review of the records, provider input, and payor input

Work with clinical and non-clinical groups to identify undesirable coding trends

Ensure claims are medically coded consistently by following CPT, ICD-10 and HCPCS rules and guidelines; escalate issues that may impact this immediately to the Compliance Committee

Abide by HIPAA and Coding Compliance standards

Collect data from various sources, maintain electronic records and logs, file paperwork, and operate office equipment

Accomplish other tasks as assigned

Other Duties That May be Assigned:

Work hand in hand with partner facilities to verify resident stay status

Review patient information to assist in decision making process in regard to advance modalities

Coordinate with outside partners for advanced modalities

Skills required to succeed:

Must live in one of the following states: WA, OR, ID, UT, AZ, TX, VA, FL

2+ years coding

2+ years medical billing experience (preferred but not required)

Experience with insurance and revenue cycle management processes

Ability to read and understand insurance EOB’s

Proficient in reviewing edits between CPT, ICD10, and HCPCS codes

Experience in reviewing insurance review denials and payer policies

Professional coder certification through a recognized organization such as AAPC (preferred) or AHIMA

Leadership qualities with the ability to effectively educate providers remotely

Acute attention to detail with a strong, self-sufficient work ethic

Excellent organization and use of time management skills

Ability to prioritize workload and have a strong sense of urgency when time sensitive situations arise

Proficient with computers and navigating within multiple applications

Proficient in MS Office (specifically Teams, Outlook, Excel, and Word)

Ability to collaborate with other UWH team members electronically via email, messaging, and telephone conferences

Strong verbal and written communication, as well as customer service skills; must be able to listen and communicate effectively with leadership, providers, and co-workers

Goal-oriented and a consistent performer

Must be self-motivated, punctual, dependable, and able to work independently

Must be trustworthy, honest and have a positive and professional attitude

Location: Remote – corporate office location in WA

Compensation: $25.00 - $33.00 hourly - DOE and location

This position is classified as: Hourly, Non-Exempt; Full-Time employment

Hours: Typical hours are Monday through Friday; 7:30am – 4:00pm PST, (occasional overtime depending on claim volume)

Benefits:

Work remotely from a home office

Associates working 20+hrs per week:

Medical/Dental/Orthodontic/Vison/RX - 80% towards employee monthly premiums covered, HSA matching, dependent coverage available at employee’s expense

Employer Sponsored Life, AD&D, and Disability Insurance

Voluntary Supplemental Insurance: Accident, Cancer, Critical Illness, STD, Life

Paid Time Off:

Accrual up to 172hrs (21.5 days) your first year of employment based on FTE status

8 paid Holidays for full-time employees

401(k) match on first 4%

Core Values that promote work-life harmony

Work with amazing people who have created a culture where we recognize each other’s wins and don’t tolerate gossip or drama

Website:

We are a drug-free workplace. All offers of employment are contingent upon a successful drug screen and criminal background check. EEO.

Full-time

Fully remote