Certified Medical Coder

About the Role

At Samaritan Healthcare, we are dedicated to providing healthcare services to the community we serve. We are committed to offering the very best work environment for our professionals and the highest quality care to our patients. This is a full-time remote position with required onsite attendance for onboarding and equipment pick-up (2 days only). The role operates Monday through Friday from 7:00 AM to 3:30 PM.

Responsibilities

• Extract and assign ICD-10-CM/PCS, CPT, Modifiers, and HCPCS codes per coding guidelines.
• Perform ICD-10-CM/PCS and CPT coding and abstracting, and transmit abstracts as required.
• Code all records based on documentation, following coding guidelines, payer regulations, and ethics.
• Research Coding Clinics and assist with coding audits from payor and RAC audits, providing rebuttal letters if needed.
• Apply knowledge of coding rules, review, and resolve CCI/LCD/NCD’s and modifier edits.
• Work with Revenue Integrity & Compliance on audits and coding questions.
• Use software and/or coding resources to verify coding accuracy.
• Provide feedback to providers using authorized methods, such as physician queries for incomplete or contradictory diagnoses or greater specificity.
• Work with clinical staff to resolve coding issues and related problems.
• Participate in educational activities as requested (e.g., attending meetings with coding auditors or completing assigned education).
• Review accounts and charges in EPIC, Cerner, or Meditech EHR systems.
• Maintain confidentiality of medical records, reports, and Samaritan business.
• Maintain professional growth and development through seminars, workshops, and professional affiliations to stay current with latest trends.
• Perform general office and clerical duties (e.g., answer phones, distribute mail, maintain office supplies).
• Operate office equipment and ensure no injuries to self or others by following safe work practices and policies.
• Ensure compliance with organization policies, procedures, and labor agreements.
• Conduct interactions with team members and other support groups in a courteous and efficient manner.
• Maintain a professional appearance and conduct that represents the organization well.
• Handle additional accountabilities as required by management to meet organizational standards.

Requirements

• High school diploma or equivalent required; Associate’s degree preferred.
• Certification as RHIT, CCS, RHIA, CPC, CPC-H, CPC-A, or CCA.
• Minimum of 1 year of coding experience.

Skills

• Knowledge of ICD-10, CPT coding, medical terminology, and insurance billing.
• Understanding of DRGs for Inpatient Facility coding positions desired.
• Training and/or experience in Medical Terminology and Anatomy and Physiology.
• Experience with EPIC EHR desired.
• Excellent interpersonal, written, and verbal communication skills.
• Excellent customer service skills.

Physical Requirements

• Occasional standing, walking, lifting, reaching, kneeling, bending, stooping, pushing, and pulling.
• Light physical effort; ability to lift up to 10 lbs.
• Ability to communicate using verbal and/or written skills for accurate exchange of information with physicians, nurses, healthcare professionals, patients, and the public.