Job Summary
The Certified Medical Coder will be responsible for analyzing medical records and abstracting clinical data by assigning codes from patient records in accordance with ICD-9-CM, ICD-10-CM, CPT, and HCPCS coding systems for busy Emergency Room facilities and physician services.
Responsibilities
- Review medical records for completeness, accuracy, and compliance with medical and legal guidelines.
- Ensure all relevant diagnoses, procedures, and modifiers are accurately captured to optimize reimbursement and minimize denials.
- Apply commercial insurance reimbursement principles to support proper claim submission.
- Identify, analyze, and investigate coding and billing errors to help prevent future recurrence.
- Work with physicians and staff to ensure accurate coding and provide guidance as needed.
- Assist in educating providers on billing issues identified through ongoing reviews of submitted claims.
- Maintain confidentiality and security of patient data and medical records in compliance with HIPAA guidelines and regulations.
- Maintain a 95% coding accuracy rate and productivity standards.
- Provide professional customer service and handle patient issues with sensitivity and confidentiality.
- Perform other duties as assigned by management.
Working Environment
- Fast-paced, high-volume, dynamic environment.
- Ability to flex hours and work overtime as needed.
- Remote position; must reside in the United States.
Requirements & Qualifications
Required Qualifications
- Certification required: CPCO, CPC, or CCS.
- Strong understanding of ICD-10-CM diagnosis coding and CPT/HCPCS procedure coding.
- Strong understanding of anatomy and physiology as it relates to coding compliance.
- Basic computer literacy, including keyboarding skills, Microsoft 365, and Windows navigation.
- Minimum of 3+ years of experience as a medical coder in both professional fee and facility coding, preferably in Emergency Room settings.
- Experience with Evaluation and Management coding.
- Experience coding injections, infusions, labs, radiology, and supplies.
- Experience using electronic medical record systems, EDI, and commercial insurance company systems.
- Proficiency in ICD-10-CM, CPT/HCPCS coding, and modifiers with the ability to maintain 95% coding accuracy.
- Strong attention to detail, organizational skills, and the ability to prioritize workload and meet deadlines.
- Customer service orientation and the ability to work well in a team environment.
Location
Houston, Texas, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 week ago