Edits Coder
Job Description
Review and resolve IP or OP Coding and/or Billing Edits. Ensuring adherence to coding guidelines and documentation standards.
Review medical records, encounter forms, and other documentation to abstract relevant information for coding purposes.
Translate medical terminology and procedures into standardized codes using ICD-10-CM, CPT, and HCPCS Level II code sets.
Stay informed about updates and changes to coding guidelines, regulations, and industry standards.
Ensure compliance with healthcare regulations, coding guidelines, and reimbursement policies, such as HIPAA, CMS, and third-party payer requirements.
Skill Set:
Possession of one of the following AHIMA credentials: RHIA, RHIT, CCS, CCS-P; or one of the following AAPC credentials: CPC, COC, or CIC.
Minimum of 1 year of experience in Edit review and resolution.
Proficiency in ICD-10-CM, ICD-10-PCS, CPT and/or HCPCS coding, as appropriate, encompassing comprehensive knowledge of guidelines and conventions.
Competence in utilizing coding software and electronic health record (EHR) systems.
Strong analytical aptitude to interpret intricate medical documentation accurately.
Detail-oriented approach, ensuring precision and accuracy in all coding assignments.
Exceptional communication skills to facilitate effective collaboration with healthcare professionals.
Strong organizational and time management capabilities to meet coding deadlines
"The pay range for this position starts at $25.00; however, base pay offered may vary depending on job-related knowledge, skills, and experience. Bonus opportunities may be provided as part of the compensation package, in addition to a full range of medical, financial, and/or other benefits, dependent on the position offered.”
Pay: $25.00 - $30.00 per hour
Education:
High school or equivalent (Required)
Experience:
Edits Coding: 1 year (Required)
License/Certification:
AHIMA (Required)
AAPC (Required)
Work Location: Remote