<h3>Job Description</h3>
Job Description
The Coding Network, LLC (TCN) is the country’s premier broker of remote coding and auditing services, structured as a virtual company connecting healthcare professionals and health systems across the country with over 800 US based single specialty coders and auditors.
 
Flexible Hours: We understand that everyone’s schedule is different and, as such, auditors enjoy the flexibility to commit to as few as 15 hours a week to however many hours work for them to render auditing services. It is one thing to have the freedom to work from home, but TCN coders possess the freedom to utilize the full 24 hour clock and choose when to work beyond the traditional 9-5. Whether you’re looking for extra income in addition to your day job or to make a more robust commitment, we are able to accommodate you.
 
Position &amp; Responsibilities: In order to support the growing need for E&amp;M services and surgical divisions, there are abundant opportunities for coders and auditors across many different specialties.
 
At The Coding Network, our emphasis is on single specialty coding experience. This exciting opportunity will allow you to work with a variety of healthcare organizations and with other coding experts in the same specialty. To help with the application process, please take a minute to clarify what medical specialty or specialties you&nbsp;excel in&nbsp;and distinguish between surgical and E&amp;M. For example: “I code Orthopedic Surgeries but not the E&amp;M’s” or “I’m an E&amp;M coder, I code for the Family Practice, Internal Medicine, Dermatology, ENT and OBGYN clinics in my health system”
 
Please make sure your resume is updated with a complete history of the specialties in which you are strongest. Once we review your resume, the TCN team will send you a short coding test so you can demonstrate your coding skills and abilities.&nbsp;
 
We look forward to hearing from you and hope you join our team of 800+ single specialty coders and auditors.&nbsp;
 
Here is a list of TCN’s immediate needs:
Immediate E&amp;M Coder Specialties:
E&amp;M Behavioral Health
E&amp;M Cardiology
E&amp;M Dermatology
E&amp;M Family Practice
E&amp;M General Surgery
E&amp;M Hospitalist
E&amp;M Internal Medicine
E&amp;M Neurology
E&amp;M Neurosurgery
E&amp;M NICU/PICU
E&amp;M OB/GYN
E&amp;M Ophthalmology
E&amp;M Orthopedics
E&amp;M Pain Management
E&amp;M Pediatrics
E&amp;M Podiatry
E&amp;M Pulmonary
E&amp;M Trauma
EM Urology
 
Immediate Surgical/Procedural/Facility Specialties:&nbsp;
ASC / Same Day Surgery (HOPD)
Cardiothoracic Surgery (Pediatric)
GYN/ONC
Neurosurgery
Orthopedic Surgery
Trauma &amp; Burn Surgery
Transplant
Urology
Wound Care
Company DescriptionTCN has been providing specialty specific medical coding for over 30 years. TCN's 800+ US based coders cover over 55 medical specialties and subspecialties for clients in all 50 states. For more information visit <a href="http://www.codingnetwork.com" target="_blank">www.codingnetwork.com</a> 
<h3>Company Description</h3>
TCN has been providing specialty specific medical coding for over 30 years. TCN's 800+ US based coders cover over 55 medical specialties and subspecialties for clients in all 50 states. For more information visit <a href="http://www.codingnetwork.com" target="_blank">www.codingnetwork.com</a>

Remote Medical Coder

<h3>Job Description</h3>
Job Description
Salary Range: $26.00 to $31.00 an hour
By adhering to Connecticut State Law, pay ranges are posted. The pay rate will vary based on various factors including but not limited to experience, skills, knowledge of position and comparison to others who are already in this role within the company.
COVID-19 and Flu Vaccine Considerations Masks are optional for employees, visitors, patients, vendors, etc. All employees are strongly encouraged and recommended to obtain the COVID-19 vaccination routinely. Proof of annual flu vaccination is required for all employees.
PACT MSO, LLC is a management service organization that supports a large multi-specialty practice of providers. We are currently looking for an experienced Medical Coder who will be working in Branford Monday through Friday from 8:30am to 5:00pm. This is not a remote position.
Summary
The coder reviews, analyzes, and codes diagnostic and procedural information in the medical record that determines Medicare, Medicaid, and private insurance payments. The primary function of this position is to assign ICD10, CPT, and HCPCS coding based on provider documentation to ensure accurate reimbursement and tracking of services provided. The coding function ensures compliance with established coding guidelines, third party reimbursement policies, and regulations for a busy Multi-Specialty Practice.
Essential Functions
• Thorough understanding of the contents of medical records in order to identify information to support coding. • Extracts pertinent information from patient medical records. Assigns ICD10CM, CPT/HCPCS codes and modifiers. • Reviews and analyzes medical records to identify relevant diagnoses and procedures for distinct patient encounters within a Multispecialty Practice. • Translates/extracts diagnostic and procedural phrases into coded form - the accurate translation process requires understanding and interpretation of medical reports, industry standard and payer specific coding conventions and guidelines. • Reviews denials for coding lapses and suggests coding changes for corrective and preventive action. • Notifies a Manager/Supervisor or designated individual when reports are incomplete and code assignments are not straightforward or documentation is inadequate and updates relevant logs. • Keeps updates of coding guidelines, federal reimbursement requirements, and changes to third party reimbursement policies. • Abides by Standards of ethical coding as set forth by American Academy of Professional Coders (AAPC} and American Health Information Management Association (AHIMA) and adheres to official coding guidelines. • Performs other related duties as required.
Skills and Knowledge
• Demonstrate expertise in coding Evaluation and Management (E/M) visits across multiple specialties, ensuring accurate level selection based on documentation guidelines and supporting providers in optimizing clinical notes for compliance and reimbursement. • Maintain up-to-date knowledge of billing and coding regulations across multiple specialties by actively engaging in continuing education, certifications, and industry updates to ensure accurate and compliant coding practices. • Identify and facilitate educational opportunities for billing and clinical staff, tailoring training to address specialty-specific documentation and coding challenges. • Research new procedures and clinical documentation requirements, providing clear coding guidelines and educational resources to support accurate billing and improve provider documentation across specialties. • Thorough understanding of the contents of multi-specialty medical records in order to identify information to support coding. • Thorough knowledge and experience in EHR, preferably EPIC. • Basic knowledge of anatomy and physiology of human body and diseases in order to understand etiology, pathology, symptoms, signs, diagnostic studies, treatment modalities, and procedures to be coded. • Basic understanding of claims form and reimbursement process • Understanding of local medical policies of carriers and Medicare.
Education and Experience
• Education: High School degree or equivalent required, Associates preferred. • Must possess and maintain coding certification from the American Academy of Professional Coders (CPC). • Experience: Minimum 3 years’ experience as a coder in a multi-specialty physician group. • Experience: Strong coding and reimbursement background.

Medical Coder

<h3>Job Description</h3>
Job Description
South Los Angeles based FQHC looking for onsite Certified HCC coder .
*This is not a remote position
Conduct the necessary audits of medical record to verify the physicians have appropriately documented the diagnoses then code these diagnoses in ICD-10 for Medicare Risk
Adjustments/Medicare Advantage. Evaluate medical information (Outpatient/Inpatient) documentation from a clinical standpoint for evidence of the possibility of additional medical conditions that may not have been documented in the past, and ensure accurate coding of the encounter data and recommend processes for accurate coding practices. This process involves a very strong understanding of medical coding.
<ul>
<li>Ascertain that medical record documentations have accurate diagnoses and conditions to assure not to up-code, fraudulently or misrepresent the patient condition and ensure compliance to prepare for random CMS medical records audit</li>
<li>HEDIS coding and record collection</li>
<li>Report Coding discrepancies patterns identified within the chart review process to the Coding Project Manager and identify corrective measures regarding compliance problems, and suggests corrective measure to the physician in understanding of what is needed regarding documentation compliance</li>
</ul>
Provider Education
<ul>
<li>Provide detailed summary to make adjustments to correct improperly paid claims and document the correct coding to be utilized</li>
</ul>
Management Feedback:
<ul>
<li>Communicate quality issues to direct supervisor &amp; COO, Team Leaders and other Managers.</li>
<li>Provide recommendations to management based on audit findings</li>
</ul>
Management reports:
<ul>
<li>Prepare management summary reports of audit findings</li>
</ul>
Additional Responsibilities:
<ul>
<li>Provide support to the Management as required.</li>
<li>Maintains detailed knowledge of coding guidelines and regulations</li>
</ul>
Qualification Experience and Skills Required Experience:
<ul>
<li>Must have CPC or CCS certification</li>
<li>Five (5) years coding experience.</li>
<li>Multi-Specialty coding experienced required.</li>
<li>Outpatient/Clinic billing experience required.</li>
<li>Physician billing office supervisory experience preferred</li>
<li>Knowledgeable in Hierarchical Condition Categories (HCC) concepts and documentation guidelines.</li>
<li>Knowledge in MACRA reporting</li>
<li>High School degree required. Some college preferred.</li>
</ul>
Company DescriptionT.H.E. Health and Wellness Centers is a nonprofit community clinic in South Los Angeles. For more than 50 years, we've provided high-quality, low cost healthcare and preventative education for all. We are an Equal Opportunity Employer. 
<h3>Company Description</h3>
T.H.E. Health and Wellness Centers is a nonprofit community clinic in South Los Angeles. For more than 50 years, we've provided high-quality, low cost healthcare and preventative education for all.\r\n\r\nWe are an Equal Opportunity Employer.

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