Remote Certified Coding Specialist bei Inland Imaging

Base Pay Range:

Job Description:

The Certified Coding Specialist is a Full Time, Remote position working Monday-Friday day shift

Summary:   The Professional Fee (Pro Fee) Coder is responsible for reviewing, analyzing, and assigning accurate CPT, ICD-10-CM, and HCPCS codes for physician services based on medical record documentation. This role ensures compliance with coding and billing regulations, supports optimal reimbursement, and contributes to the integrity of clinical documentation

General Description: Organizational, communication (written, verbal and personal), problem solving, prioritizing and decision-making skills are routinely used in everyday activities.  There is minimum supervision, and appropriate initiative must be taken to complete projects by the deadlines given.  Completes on-site routine and complex encounter form coding for ambulatory professional services; acts as an expert on third party billing, cash management, referral, and coding processes.

Skills & Competencies:

• Strong knowledge of CPT, ICD-10-CM, and HCPCS Level II coding systems
• Detail-oriented with a high level of accuracy
• Excellent time management and organizational skills
• Ability to work independently and as part of a team
• Effective written and verbal communication skills
• Understanding of medical terminology, anatomy, and physiology

Essential Duties/Responsibilities: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

• Review clinical documentation to assign appropriate codes for evaluation and management (E/M), procedures, and diagnosis codes for professional services.
• Ensure coding compliance with federal regulations, payer-specific guidelines, and organizational policies.
• Query providers for clarification when documentation is unclear or incomplete.
• Utilize electronic health records (EHR) and coding software to complete daily coding assignments.
• Proficient use and navigation of EHR’s (Epic, Cerner, Meditech, Etc.) required
• Collaborate with physicians, billing staff, and compliance teams to ensure proper charge capture.
• Participate in coding audits and assist in the development of corrective action plans as needed.
• Maintain productivity and accuracy standards as defined by the department.
• Stay current with updates in coding guidelines, payer requirements, and industry best practices.

• Develops and maintains excellent relationships with the physicians and all other providers.
• Solicits request for additional information from physicians and providers when necessary.
• Responds to colleague’s coding requests for information in a timely manner.                                              
• Responds to patient’s billing inquiries and requests for information.
• Assists with annual coding audits as requested.
• Keeps abreast of coding changes and payer guidelines                                                                                             
• Checks of appropriate codes, billing areas, billing providers, etc.
• Reviews operative reports and selects the appropriate codes for charges of hospital procedures.
• Reports information (supplied by hospital, staff and/or physician) to the supervisor that may not be correct.
• Codes procedural reports with the appropriate CPT and ICD10 code to match all services performed.                                                               
• Reviews operative reports/consults to code.
• Reviews E & M codes for appropriate coding and billing.                                                                           
• Continuous communication with physicians and staff to ensure that all services provided are accounted for.
• Monitors and maintains client turnaround times as defined per contract
• Other special projects and duties as assigned.

General Duties/Responsibilities:

• Ability to maintain strict confidentiality within the Inland Imaging companies and Inland’s customers.
• Follows all Health and Safety policies and guidelines of InlandRCM and its partners depending on work location.
• Follows all company policies including those regarding harassment, non-retaliation, discrimination, respectful workplace, and related policies.
• Follows all policies regarding HIPAA, non-disclosure of confidential information and company security.
• Honest, pleasant manner and good personal hygiene.
• Free of alcohol and drug abuse.
• Valid state driver’s license and proof of insurance.
• Excellent communication and interpersonal skills.
• Detail oriented; ability to multi-task; organized and able to work in a fast-paced environment.
• Demonstrates self-directed learning and participation in continuing education through professional journals, approved seminars, etc.

• Adheres to departmental standards and personnel policies by demonstrating professional demeanor in conduct and appearance.
• Follows company departmental standards and personnel policies by using good teamwork and communication skills to help identify concerns and solutions, assisting where needed to ensure a smoothly functioning department.
• Performs other duties as required by displaying team spirit and self-growth, accepting and performing other projects and responsibilities, and requesting other projects and responsibilities.
• Attendance is required for this position.
• Rotates to other shifts and locations as needed.
• Performs other special projects and duties as assigned.

Supervisory Responsibilities:

• There is little to no supervisory responsibility

Advocacy:

Treats all clients with dignity and respect Provides excellent customer service Conforms to Joint Commission and HIPAA regulations Complies with PHI (Protected Health Information) Demonstrates the Inland Imaging Core Values:

• Show We Care, Do The Right Thing, Maximize Individual Potential, Always Aim Higher

Qualifications:  

• Education:  High School Diploma/GED required
• Experience: 5 years of medical billing/coding experience is desired
  • One year experience in patient health care accounts
  • Working knowledge of patient accounting systems
  • ICD-10/CPT Coding
  • Anatomy and medical terminology
• Licensure:   N/A
• Certifications: Required (CPC, ICI, RCC and/or AHIMA type certifications). Proof of maintaining certification is required. Must meet yearly CEU requirements. Copy of renewal of the certification is required and will be filed in the employee records.
• Computer Skills: Experience with the following computer applications is highly desired: Microsoft Office products (Outlook, Word, Excel, Power Point), Workday, Internet, and Intranet.
• Background Check:
  • Must be able to pass a background check required by RCW 43.43.830-840 to work with children under the age of 16, developmentally disabled persons or vulnerable adults
  • To comply with provisions, set forth in Sections 1128 and 1156 of the Social Security Act, all new employees of Inland Imaging Business Associates will be checked against the LIST OF EXCLUDED INDIVIDUALS provided by the Department of Health & Human Services, Office of the Inspector General (OIG).  Employees must not be included on this list.  
• Drug Test: Eligible employees must be able to pass a post-offer, pre-employment drug test.

Nuvodia/Inland is an EEO employer...