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MEDICAL CODER - REMOTE id-7858

Full Job Description

The Medical Coder is primarily responsible for performing chart reviews and coding audits; reviewing appropriate ICD-10 diagnoses codes, and CPT and HCPCS procedure codes assigned for evaluation and management of the patient. Additional responsibilities include supporting pre-or post-payment coding audit for benchmark and/or reimbursement recovery, and other coding-related activities such as pre-appointment chart audits for HCC or risk adjustment, appeals of denied claims, providing information or education to providers for specificity of documentation to align with the coding guidelines to comply with federal, state, and regulatory requirements.

 

ESSENTIAL JOB FUNCTIONS:

 

QUALIFICATIONS:

 

  • Completion of an AA or AS degree
  • Possession of AAPC or AHIMA credential such as CPC, CPC-P, CPMA, RHIT, RHIA, CCS, or CCS-P
  • Minimum of two years’ experience working in the healthcare industry in the areas of HCC or risk adjustment, health information, chart audit, medical coding, or billing preferred
  • Prior coding experience highly preferred
  • Knowledge of medical terminology, anatomy, pathophysiology, pharmacology, CPT, ICD-10, clinical documentation, or medical billing processes
  • Excellent verbal and written communication skills
  • Experience with Microsoft Office (Word, Excel, PowerPoint) and Outlook
  • Detail-oriented and problem-solving skills
  • Ability to work independently with minimal supervision
  • Experience in an FQHC or community health center setting preferred

 

 

LANGUAGE:

 

  • Must be able to fluently speak, read, and write English.
  • Fluent in other languages are an asset.
  • This is a Full Time position.

 

STATUS:

 

  • This is an FLSA Non-exempt position.
  • This is not an OSHA high-risk position

 

NEMS is proud to be an Equal Opportunity Employer welcoming diversity in our workforce. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

NEMS BENEFITS: Competitive benefits, including free medical, dental and vision insurance for employee, spouse and/or children; and company contribution to 401(k).

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