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Professional Coder/Biller

companyPremier Health
locationCharleston, SC, USA
PublishedPublished: 6/14/2022
Full Time

Job Description

Job Description

Premier Health offers the Outpatient Coder/Biller position as a remote opportunity. Candidate will preferably reside in the Southeast part of the U.S. but not a requirement.

Responsible for maintaining current and high-quality ICD-10-CM and CPT coding of all professional services, including outpatient Evaluation & Management (E/M) and clinic-based procedures. Included in Outpatient coding are all clinic-based services, laboratory, radiology, nursing home visits, and physical therapy, oncology and others. May also be responsible for some Inpatient hospital E/M services, and rehab accounts. Premier Health operate using Athena as its EMR, which verifies charges and code assignments are correct on all  accounts. Accurately assigns appropriate modifiers to CPT codes. Communicates regularly with clients regarding coding concerns, missing/incomplete documentation, and coding policy updates. Responsible for assigned coding denial work queues.  Primary client contact for set ups and implementations.

Requirements:

  • Minimum requirements: Completion of an AAPC or AHIMA approved Coding Certificate Program; High school diploma or GED
  • Minimum (5) five years of physician practice coding an outpatient clinic setting
  • Athena EMR experience is a must
  • Minimum (5) five years of professional billing, claim denials, appeals, and/or revenue cycle work
  • Expert knowledge of CPT, ICD-10, HCPCS, and medical terminology
  • Strong knowledge of Medicare, Medicaid, and Commercial payers coding/billing guidelines and compliance regulations, including medical policy restrictions (LCDs and NCDs)
  • Familiarity with coding in a Provider-Based setting is a plus
  • Exceptional written and verbal communication skills
  • Strong analytical and research skills, with extreme attention to detail
  • Proficient using multiple software applications, including: Excel, Word, and PowerPoint
  • Ability to prioritize assignments to meet deadlines
  • Ability to meet set productivity and quality standards
  • Able to work independently in a remote setting, as well as part of a team
  • Project management or client implementation experience

One of the following certifications is required:

  • Certified Professional Coder (CPC) – AAPC
  • Certified Coding Specialist (CCS) – AHIMA
  • Certified Coding Associate (CCA) - AHIMA

Travel 15-20 % for client set up and implementation

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