Proliance Surgeons, Inc.
Revenue Cycle Coder CPC - Remote
Proliance Surgeons, Inc., Seattle, Washington, us, 98127
Central Service Office, Seattle, Washington, United States of AmericaJob Description
Posted Monday, October 21, 2024 at 10:00 AMDescriptionProliance Surgeons is one of the largest surgical practices in the country, with over 450 providers including over 200 board-certified physicians providing treatment at more than 100 care centers in Washington State.At Proliance, our patients come from all walks of life and so do we. We hire, develop and engage great people from a wide variety of backgrounds and encourage growth and development to make our organization a great place to work. We draw on the differences in who we are, what we’ve experienced, and how we think to create
Exceptional Outcomes ,
Personally Delivered .We are proud to offer a comprehensive and competitive benefit and pay package including health coverage, 401k with match and profit share, PTO and more!Position SummaryThe role of the Revenue Cycle Coder is crucial to the revenue cycle team. The team connects with our patients, their insurers or bill payers and our physicians. Accuracy and efficiency of this team directly impacts our mission to be the leader in physician-managed healthcare services and to provide excellent surgical and clinical care for every patient, every day. The Revenue Cycle Coder is critical to maintaining the funding for our services provided.Key Duties and ResponsibilitiesReviews/audits and interprets medical record documentation to identify pertinent diagnosis/procedure and apply correct ICD10, CPT-4, and HCPC’s codes in accordance with government and insurance regulations.Demonstrates appropriate utilization of coding software and coding reference material.Follow up with providers on any documentation that is insufficient, missing, or unclear.Assists providers with questions regarding coding and documentation guidelines. Provides ongoing feedback based on observations from coding documentation and identifies opportunities for education and communicates trends to leaders.Keeps up to date on carrier policies/guidelines to ensure all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or Payer-specific guidelines.Reviews and resolves suspended charges due to claim edits or payor rejections related to coding.Reviews, corrects and appeals coding-related denials trends and shares with leadership, and team members to facilitate root cause analysis and continuous process improvement.Corrects and/or appeals denied claims due to coding errors.Other duties as assigned.Education/ExperienceMinimum 3 years coding/medical billing experience.Professional coder certification with credentialing from AHIMA and/or AAPC, must be maintained annually.ICD10 certified and/or extensive work experience.Knowledge, Skills and AbilitiesA strong understanding of physiology, medical terms, and anatomy.Thorough attention to detail.Excellent written and verbal communication skills.Self-motivated team player able to multi-task and prioritize.Excellent organization and interpersonal communication skills.Strong computer skills/experience with Microsoft Excel, Outlook, and Adobe.Working experience navigating EHR’s to abstract documentation.Work Environment/Physical DemandsThe work environment/physical demands described here are representative of those that must be met by a teammate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable differently abled persons to perform the essential functions.Work may be performed in an office and clinical environment. Requires corrected vision and hearing to normal range. While performing the duties of this job, the associate is regularly required to talk or hear. The associate is required to sit for long periods of time, stand and walk, bend and stretch. Use of telephone and computer is required. Manual dexterity required for use of computer keyboard. Occasionally lifts and carries items weighing up to 40 pounds. May require working under stressful conditions or working irregular hours.
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Posted Monday, October 21, 2024 at 10:00 AMDescriptionProliance Surgeons is one of the largest surgical practices in the country, with over 450 providers including over 200 board-certified physicians providing treatment at more than 100 care centers in Washington State.At Proliance, our patients come from all walks of life and so do we. We hire, develop and engage great people from a wide variety of backgrounds and encourage growth and development to make our organization a great place to work. We draw on the differences in who we are, what we’ve experienced, and how we think to create
Exceptional Outcomes ,
Personally Delivered .We are proud to offer a comprehensive and competitive benefit and pay package including health coverage, 401k with match and profit share, PTO and more!Position SummaryThe role of the Revenue Cycle Coder is crucial to the revenue cycle team. The team connects with our patients, their insurers or bill payers and our physicians. Accuracy and efficiency of this team directly impacts our mission to be the leader in physician-managed healthcare services and to provide excellent surgical and clinical care for every patient, every day. The Revenue Cycle Coder is critical to maintaining the funding for our services provided.Key Duties and ResponsibilitiesReviews/audits and interprets medical record documentation to identify pertinent diagnosis/procedure and apply correct ICD10, CPT-4, and HCPC’s codes in accordance with government and insurance regulations.Demonstrates appropriate utilization of coding software and coding reference material.Follow up with providers on any documentation that is insufficient, missing, or unclear.Assists providers with questions regarding coding and documentation guidelines. Provides ongoing feedback based on observations from coding documentation and identifies opportunities for education and communicates trends to leaders.Keeps up to date on carrier policies/guidelines to ensure all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or Payer-specific guidelines.Reviews and resolves suspended charges due to claim edits or payor rejections related to coding.Reviews, corrects and appeals coding-related denials trends and shares with leadership, and team members to facilitate root cause analysis and continuous process improvement.Corrects and/or appeals denied claims due to coding errors.Other duties as assigned.Education/ExperienceMinimum 3 years coding/medical billing experience.Professional coder certification with credentialing from AHIMA and/or AAPC, must be maintained annually.ICD10 certified and/or extensive work experience.Knowledge, Skills and AbilitiesA strong understanding of physiology, medical terms, and anatomy.Thorough attention to detail.Excellent written and verbal communication skills.Self-motivated team player able to multi-task and prioritize.Excellent organization and interpersonal communication skills.Strong computer skills/experience with Microsoft Excel, Outlook, and Adobe.Working experience navigating EHR’s to abstract documentation.Work Environment/Physical DemandsThe work environment/physical demands described here are representative of those that must be met by a teammate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable differently abled persons to perform the essential functions.Work may be performed in an office and clinical environment. Requires corrected vision and hearing to normal range. While performing the duties of this job, the associate is regularly required to talk or hear. The associate is required to sit for long periods of time, stand and walk, bend and stretch. Use of telephone and computer is required. Manual dexterity required for use of computer keyboard. Occasionally lifts and carries items weighing up to 40 pounds. May require working under stressful conditions or working irregular hours.
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