Responsible for critical access hospital coding, including emergency department, infusions, Critical Access Hospital Specialty Clinic, professional fees, and Rural Health Clinic. Ensures timely and accurate coding of medical claims while maximizing reimbursement for services.
Performs charge entry review, abstracts clinical information, and translates medical documentation into diagnoses and procedural codes using current coding and classification systems. Sequences codes according to established guidelines and analyzes medical information to support accurate prospective payment system reimbursement.
Maintains knowledge of coding rules and regulations from AMA, CMS, and other payers. Uses EHR and other client systems to complete job duties, communicates issues to management, identifies denial trends, supports claim submission and follow-up when needed, and participates in meetings and continuing education. Works in a 100% remote environment.
Required
- High school diploma or GED
- Certified Professional Coder (CPC) or Certified Coding Specialist (CCS)
- Knowledge of medical terminology
- Proficiency with Microsoft Office
- Strong verbal and written communication skills
- Ability to use multiple client systems and manage competing priorities
- Comfort working in a remote teamwork environment
Preferred
- Associate degree
- Three to five years of experience in emergency room coding, infusion coding, or specialty clinic procedure coding
- Critical Access Hospital and/or Rural Health Clinic coding experience
- Two years of experience with formal coding training considered
Location
N/A
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 week ago