Certified Professional Coder, Remote for MN Residents Only

Are you looking for a new opportunity in coding? Come join a fantastic coding team! Ridgeview is seeking an experienced Professional Coder. This is a remote opportunity for Minnesota Residents. Our leadership team is looking for someone who is talented and committed and wants to grow. We are supportive of our talent and offer work from home and flexible daytime schedules. If you hold current coding credentials through AAPC or AHIMA and have 1-2-years of previous coding experience, consider joining our RMC coding team. Experience with EPIC is highly desirable.

Purpose of Job

This position is responsible for reviewing clinical documentation and charges for assignment of compliant, accurate and complete ICD-10, CPT, HCPCS codes and modifiers to capture appropriate professional codes. Professional codes primarily capture the complexity and intensity of physician/clinician care provided during a visit. Areas of focus will be Primary and Specialty care, Lab, ED, UC, Wound, Hospitalists, Nursing Home and Surgery. Legitimately and ethically optimize hospital/professional services payment based on Official Coding Guidelines and NCCI guidelines with physician/department consultation when appropriate. Responsible for coding all Ridgeview locations including but not limited to critical access hospitals.

Job Functions

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  Identifies, verifies, abstracts and translates medical record documentation to accurate and complete codes according to industry approved guidelines and department policies.
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  Completes coding queue/tasks as assigned, maintaining a consistent level of productivity and accuracy.
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  Maintain accurate coding-related information in other platforms, which may include claims clearinghouse and practice management system.
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  Review and/or correct coding related denials.
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  Participate in coder specific training and education. Maintain certification and continuing education hours.
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  Attend mandatory training and on site meetings.
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  Participate in and attend audit and education for physicians/clinicians and departments.
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  Travel to and/or permanently work at a site within a clinic or hospital.
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  Ability to work remotely after meeting and maintaining productivity and quality standards.
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  Performs other duties as assigned.

Minimum Education/Work Experience

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  Coding Certification through AAPC or AHIMA
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  Minimum 1-2 years of healthcare coding experience

Knowledge/Skills/Abilities

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  Knowledge of coding principals (ICD/CPT/HCPCS)
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  Ability to meet and maintain the necessary background checks as aligned with position functions
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  Ability to communicate in the English language for effective written and verbal correspondence in order to complete job functions as mentioned above
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  Knowledge of Anatomy/Pathophysiology/Pharmacology/Surgical procedures
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  Knowledge of professional fee billing practices
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  Knowledge of basic computer functions and Microsoft Office applications
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  Ability to prioritize and organize responsibilities

License/Certifications

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  AAPC, AHIMA

Preferred Qualifications

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  Experience using practice management system and clearinghouse
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  Excellent analytical and critical thinking skills in order to identify, analyze, research and develop solutions for coding related issues and/or process improvement.

Cognitive and Mental Demands

Time Awareness - Continuous

Writing - Continuous

Initiation of Work - Occasional

Memory - Continuous

Receptiveness to Change - Occasional

Reasoning - Continuous

Required Sequences in Work - Frequent

Problem Solving - Frequent

Attentiveness Duration - Continuous

Social Interactions - Frequent

Mathematical Aptitude - Frequent

Conflict Management - Occasional

Reading - Continuous

Detail Oriented - Continuous

Link to Employee Health Physical Demands