Edits/Denials Coder
About the role
This is a Fully Remote Job
About Our Client:
The organization operates in the healthcare sector, focusing on delivering care supported by technology to improve health outcomes for millions. It addresses challenges in connecting people with care, pharmacy benefits, and resources to promote healthier lives. The organization emphasizes diversity, inclusion, and health equity on a broad scale.
Responsibilities
- Accurately assign CPT and ICD-10 edits for professional services following official and client coding guidelines
- Analyze and correct CCI edits and medical necessity accounts
- Maintain ethical coding standards per AAPC and/or AHIMAM
- Meet required coding quality and productivity levels
- Provide documentation feedback and query physicians when necessary
- Stay current with coding updates and participate in meetings and educational events
- Perform additional tasks as directed by management
Requirements
- High School Diploma or GED
- Professional coder certification from AHIMA and/or AAPC (e.g., CCA, CCS, RHIA, RHIT, CPC-H/COC, CIC, CCS-P, CPC, CPC-A), maintained annually
- Minimum 2 years of professional/ambulatory coding experience across multiple chart types and services
- At least 1 year experience with LCD, NCD, Medical Necessity, Modifier Edits, OCE, MUE, NCCI classification, and payer denials
- Expert proficiency in CPT and ICD-10-CM coding
- Proficient with PC Windows environment, MS Excel, and EMR systems
Pay
Pay Range and Compensation Package: Hourly pay ranges from $24.00 to $43.00 based on experience and employment status
Benefits & Perks
Benefits & Perks: 401(k)
Equal Opportunity Statement
Note: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.