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AI Summary
The Medical Coder is responsible for reviewing medical documentation and accurately assigning CPT, ICD-10-CM, HCPCS, and/or ICD-10-PCS codes based on the encounter type to ensure accurate billing and optimized reimbursement in outpatient and/or facility settings. Essential functions include assigning codes, reviewing documentation for support, applying proper modifiers and sequencing, and ensuring compliance with regulations.
Revenue Cycle Management is looking for a Medical Coder to join our team!
**Remote opportunity after in-person training**
SUMMARY: The Medical Coder is responsible for reviewing medical documentation and accurately assigning CPT, ICD-10-CM, HCPCS, and/or ICD-10-PCS codes depending on the encounter type. The position ensures accurate billing, compliance, and optimized reimbursement across outpatient and/or facility (inpatient) settings.
ESSENTIAL FUNCTIONS:
- Assign accurate diagnosis and procedure codes based on medical record documentation using CPT, ICD-10-CM, HCPCS, and/or ICD-10-PCS.
- Review provider documentation to ensure coding is supported and complete for billing submission.
- Apply proper modifiers, sequencing, and coding conventions appropriate to the setting (inpatient or outpatient).
- Ensure compliance with coding regulations, organizational policies, and HIPAA standards.
- Meet coding productivity and quality benchmarks.
- Collaborate with clinical, billing, and medical records teams to resolve discrepancies and reduce coding errors.
- Assist with claim edits and coding-related denials as applicable.
- Review and validate physician queries prior to provider contact.
- Participate in audits, case reviews, and coding education sessions.
- Contribute to continuous improvement of coding practices.
KNOWLEDGE, SKILLS, AND ABILITIES:
- Knowledge of coding guidelines, conventions, and regulations.
- Ability to apply specialty-specific coding (e.g., bariatric, orthopedic, spine, cosmetic, pain management).
- Ability to analyze problems, evaluate alternatives, and recommend solutions.
- Strong organizational and communication skills.
- Proficiency with EHRs, coding software, and billing systems.
- Knowledge of medical record-keeping and HIPAA compliance.
- Attention to detail and accuracy in handling medical records.
- Time management and ability to prioritize tasks in a fast-paced environment.
- Customer service orientation when interacting with providers and clinical staff.
- Understanding of medical terminology and procedural coding concepts.
EDUCATION AND EXPERIENCE:
- High school diploma or GED
- Three (3) years of experience in medical coding.
- Certified Professional Coder (CPC) by AAPC or Certified Coding Specialist (CCS) by AHIMA
BENEFITS:
- 3 Medical Plans
- 2 Dental Plans
- 2 Vision Plans
- Employee Assistant Program
- Short- and Long-Term Disability Insurance
- Accidental Death & Dismemberment Plan
- 401(k) with a 2-year vesting
- PTO + Holidays
Premier Medical Resources is a healthcare management company headquartered in Northwest Houston, Texas. At Premier Medical Resources, our goal is to leverage and combine the expertise and skillset of our employees to drive quality in all we do. Our goal is to create career pathways for our employees just starting their professional career, and to those who seek to bring their expertise and leadership as we strive to combine best practices and industry excellence. Come join our team at Premier Medical Resources where passion and career meet.
Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data.
Employment for this position is contingent upon the successful completion of a background check and drug screening.
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