MedStar Medical group is currently seeking a full time REMOTE CPC Coder! The selected candidate must have experience with physician surgical coding.

Join one of the largest health systems in the area and enjoy the benefits of a full benefits package including paid time off, health/vision/dental insurance, short & long term disability, tuition reimbursement and the benefits of remote work capability.

Apply today and learn how MedStar Health can provide your next great career move!

Job Summary

• Maintains and coordinates coding of charges to maintain goals of high quality service to patients and ensure maximum reimbursement for services rendered.

Minimum Qualifications

• Education/Training - High school diploma.
• Experience - 3 to 5 years of billing experience in a medical setting
• License/Certification/Registration - CPC certification required.
• Knowledge, Skills & Abilities - Expertise in medical terminology, ICD 9-CM and CPT coding; expertise policies, procedures, rules and regulations of insurance companies; effective organizational, problem solving interpersonal, oral and written communication skills.

Primary Duties and Responsibilities

• Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations.
• Answers the telephone with a positive and professional tone of voice; identifies and answers coding questions professionally and appropriately in order to ensure each call is handled in a timely and efficient manner.
• Assists physicians, patient and insurance representatives, procedure schedulers, and managers by identifying problem billing patterns and answering questions regarding coding to ensure each cal and/or denial is handled efficiently.
• Assists with periodic audit/research of problems pertaining to coding by reviewing submitted claims, denials, and reimbursements to ensure maximum reimbursement from payors.
• Initiates correspondence to and answers rejections from insurance companies regarding patient accounts and claim appeals by following established insurance protocols.
• Maintains a regulatory/compliance environment by following organizational policies and procedures to ensure compliance to state, local, and federal standards and regulations.
• Obtains and maintains the most current coding information for appropriate payors; communicates any policy changes with AR management and team members.
• Obtains, communicates, and initiates correspondence with insurance companies to resolve coding discrepancies to ensure maximum reimbursement from payors.
• Receives insurance denials and requests and reviews patients' medical records to resubmit claims using accurate ICD-10 and CPT codes and following professional coding standards to ensure maximum reimbursement from payors.
• Reviews and assists with hospital charge processing by using accurate ICD-10 and CPT codes and following professional coding standards to ensure maximum reimbursement from payors.
• Works with physician practice staff through the Practice Management System's tasking function to obtain the necessary documentation prior to following up and submitting claims that require referrals, records, or additional information.
• Participates in meetings and on committees and represents the department and hospital in community outreach efforts.Participates in multi-disciplinary quality and service improvement teams.
• Performs other duties as assigned.