Evaluation and Management Medical Coder/Auditor

Primary Responsibilities

• Responsible for educational outreach via phone and email to providers.
• Provider educational outreach involves effectively communicating coding and documentation guidelines, both verbal and written, to provider(s), provider office staff and / or designated biller(s).
• 80-90%: Provider educational outreach via phone/email to communicate the program and coding and documentation guidelines. Be ready to discuss with individuals or groups with minimal notice.
• 10-20%: Audit outpatient claims to validate reported services, appropriate use of procedure codes, modifiers, identify potential unbundled services, confirm place of service and number of units per claim line item.
• Provide written feedback using best practice industry standards and/or health plan guidelines

Requirements

• High School Diploma/GED
• Professional coder certification (CPC, COC, CPC - P, CCS) with credentialing from AHIMA and / OR AAPC to be maintained annually
• Medical coding or auditing experience in the past year
• 2+ years of experience with E&M (Evaluation & Management) medical coding
• 2+ years of experience interacting with physicians in a medical setting (medical coding, medical billing, OR claims processing)
• 2+ years of high-volume telephonic experience
• 2+ years of experience in working with EMR (Electronic Medical Record)
• Intermediate level of proficiency with Microsoft Word (create correspondence and work within templates), Microsoft Excel (data entry, sort / filter, and work within tables), and Microsoft Outlook (email and calendar management)
• Ability to work any shift between the hours of 8:00 AM - 4:00 PM CST including the flexibility to work occasional overtime based on business need

Preferred Qualifications

• 2+ years of Outpatient Facility coding experience
• Experience with various encoder systems (eCAC, 3M, EPIC)
• Telecommuting Requirements: Ability to keep all company sensitive documents secure (if applicable)

Pay and Benefits

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $36.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.