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Professional Coder/Biller

Job Description

Premier Health offers the Outpatient Coder/Biller position as a remote opportunity. Candidate will preferably reside in the Southeast part of the U.S. but not a requirement.

Responsible for maintaining current and high-quality ICD-10-CM and CPT coding of all professional services, including outpatient Evaluation & Management (E/M) and clinic-based procedures. Included in Outpatient coding are all clinic-based services, laboratory, radiology, nursing home visits, and physical therapy, oncology and others. May also be responsible for some Inpatient hospital E/M services, and rehab accounts. Premier Health operate using Athena as its EMR, which verifies charges and code assignments are correct on all  accounts.

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Accurately assigns appropriate modifiers to CPT codes. Communicates regularly with clients regarding coding concerns, missing/incomplete documentation, and coding policy updates. Responsible for assigned coding denial work queues.  Primary client contact for set ups and implementations.

Requirements:

  • Minimum requirements: Completion of an AAPC or AHIMA approved Coding Certificate Program; High school diploma or GED
  • Minimum (5) five years of physician practice coding an outpatient clinic setting
  • Athena EMR experience is a must
  • Minimum (5) five years of professional billing, claim denials, appeals, and/or revenue cycle work
  • Expert knowledge of CPT, ICD-10, HCPCS, and medical terminology
  • Strong knowledge of Medicare, Medicaid, and Commercial payers coding/billing guidelines and compliance regulations, including medical policy restrictions (LCDs and NCDs)
  • Familiarity with coding in a Provider-Based setting is a plus
  • Exceptional written and verbal communication skills
  • Strong analytical and research skills, with extreme attention to detail
  • Proficient using multiple software applications, including: Excel, Word, and PowerPoint
  • Ability to prioritize assignments to meet deadlines
  • Ability to meet set productivity and quality standards
  • Able to work independently in a remote setting, as well as part of a team
  • Project management or client implementation experience

One of the following certifications is required:

  • Certified Professional Coder (CPC) – AAPC
  • Certified Coding Specialist (CCS) – AHIMA
  • Certified Coding Associate (CCA) - AHIMA

Travel 15-20 % for client set up and implementation

Why Work Here?
Premier Health is a quickly growing healthcare management service company that offers an excellent work environment and career growth
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