Join our dynamic team at CODEHR.ai as a Medical Coding Auditor. If you have a passion for innovation and enjoy tackling complex challenges in a collaborative, high-growth environment, this opportunity is for you. At CODEHR.ai, we’re a team of innovators dedicated to solving real-world problems in healthcare using generative AI and applying cutting-edge technologies. As a Medical Coding Auditor, you’ll play a pivotal role in driving technological advancements within our company.
Purpose:
The Medical Coder is responsible for translating medical services rendered and diagnoses identified into codes for billing and statistical purposes, ensuring accuracy, and compliance with federal regulations and insurance procedures.
Key Responsibilities:
1. Medical Record Review: Examine patients’ medical records, doctor’s notes, and diagnostic imaging reports to determine diagnoses and treatment received.
2. Coding: Assign standardized codes using ICD-10-CM, CPT, and/or HCPCS coding systems.
3. Accuracy & Compliance: Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.
4. Data Entry: Input coding data into electronic health records (EHR) systems and other relevant databases.
5. Collaboration: Collaborate with physicians and other healthcare professionals to ensure clarity of data and compliance with coding procedures.
6. Ongoing Education: Keep abreast of coding guidelines and reimbursement reporting requirements. Attend relevant trainings and workshops.
7. Query Generation: Generate and resolve coding queries with healthcare providers to clarify diagnostic and procedural information for accurate coding.
8. Audit & Quality Control: Participate in coding audits and other quality assurance measures to ensure the integrity of coded data.
9. Billing Support: Assist the billing department in understanding and interpreting coded data.
10. Documentation: Maintain accurate records and report any inconsistencies or issues to the coding manager/supervisor.
Qualifications:
1. Certification from AAPC (American Academy of Professional Coders) or AHIMA (American Health Information Management Association) such as CPC, COC, CIC, CCS.
2. Three years of experience as a medical coder, preferably in the hospital setting (ED, OR, IP).
3. Strong knowledge of anatomy, physiology, and medical terminology.
4. Proficiency in the use of ICD-10-CM, CPT, and HCPCS coding systems.
5. Familiarity with EHR systems and medical billing software.
6. Detail-oriented with a high degree of accuracy.
7. Strong communication and interpersonal skills.
8. Ability to maintain confidentiality and comply with all HIPAA regulations.
9. Commitment to ongoing professional development.
Preferred Qualifications:
1. Associate’s or Bachelor’s degree in Health Information Management or related field.
2. Experience with patient documentation in several EHR platforms such as Cerner, EPIC, McKesson.
Working Environment:
• This position allows for remote work.
• Regular interaction with healthcare professionals and administrative staff.
CODEHR.ai offers a comprehensive, competitive, and inclusive set of health, financial and other benefits that support your total well-being. Eligibility varies based on full or part-time status, exempt or non-exempt status.