Medical Coding Careers for Experienced Professionals
Title | Location | FLSA Status | Mandatory Experience | Reports Into |
---|---|---|---|---|
Outpatient (OP) Facility Medical Coder | Remote (within United States of America territory) | Full Time/Non-Exempt |
|
Vice President of Operations |
Inpatient Coder Large Acute Care Hospital System | Remote (within United States of America territory) | Full Time/ Part Time / Per Diem, Non-Exempt |
|
Vice President of Operations |
After carefully reviewing the job descriptions of open positions, please fill out the online application by clicking in the link “Apply”. Please make sure you have your complete and up-to-date resume ready in .pdf or .docx format.
You will receive an e-mail from Acusis recruiter with test instructions within 24 hours of applying. Please check your spam/junk folder if it is not in your inbox.
Results will be available via mail within 3 working days of coding test completion.
If you are successful, Acusis US HR will contact you to schedule an interview with our Vice President of Coding services. We value your time and talent, hence this is always scheduled depending on your urgency and convenience and not ours. During the interview, our goal is not solely to assess you and your fitment but also to help you understand the client, the work type, its schedule, our benefits, difficulty levels, dos and donts and anything else of importance so that you pick the “right next” you are looking for.
Acusis Induction process that is spearheaded by our Quality Manager and HR will address the below areas:
We do have some positions in Pittsburgh, PA at our headquarters, however most positions are home based.
We will consider only an active and valid CCS certification from AHIMA and if you have any added certification from AAPC, it is good, but a CCS credential is mandatory and non negotiable.
Uninterrupted internet service of minimum 300 Megabits per second (Mbps) download speed and 250 Megabits per second (Mbps) of upload speed. You should also have a mobile/land phone, computer with latest version of Windows and Microsoft office installed. Dual monitors are mandatory as you will not be efficient and organized using just single monitor.
All applicable software for secure client access. Secure email. Technology support.
There are a few part time positions available.
Yes, Acusis provides a competitive benefits package to full-time employees with health, dental and vision benefits, FSA and 401K options. We do not offer paid holidays for our coders and we also do not offer a holiday schedule to them either. The PTO policy we have in place builds in holiday time. Our coders will have to use PTO accumulated if they want a day off or a holiday. We do offer, Short Term Disability, Long Term Disability, and Voluntary Life.
Job Title: Inpatient Coder – Large Acute Care Hospital System
Location: Remote
Department: Medical Coding
Reports To: Vice President of Operations
FLSA Status: Full Time/ Part Time / Per Diem, Non-Exempt
Job purpose
Inpatient Coder – Large Acute Care Hospital System will provide assistance with all related activities, including coding of facility inpatient charts. The Inpatient Coder is also responsible for communicating with clients and Acusis management around the coding and potential coding opportunities with clients. Coders also review medical record encounter to ensure that assigned codes meet required coding guidelines.
Duties and responsibilities
Assign ICD10 CM Diagnosis Codes and ICD 10 PCS Procedure Codes for assigned accounts.
Select and sequence principal and secondary diagnosis and procedure codes.
Assign appropriate DRG.
Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.
Be knowledgeable of billing and coding requirements for governmental guidelines and private insurance payers.
Abstract statistical data from the patient record and enter information following the facility guidelines.
Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.
Review documentation of various providers to determine accurate coding for all medical services and surgical procedures from available medical records within electronic medical records.
If the diagnosis is unclear prepare and assign queries following the facility guidelines for the query process.
Determine all appropriate diagnoses and assign the most specific ICD-10 code.
Assist other departments in coding and reimbursement issues.
Follow all HIPAA regulations and uphold a higher standard around privacy requirements.
Develop trusted relationships with the client contacts and other team members around the globe.
Adhere to all internal competencies, behaviors, policies and procedures to ensure efficient work processes.
Completes all assigned work in a timely manner based on internal, client and/or payer standards.
Maintain at least a 95% accuracy rate at all times.
Maintain productivity standards, tracking and deadlines.
Maintain and complete accurate productivity and tracking logs.
Keep all equipment updated and active on the internet.
Comply with established facility policies and procedures.
Skills and Qualifications
High school or GED required.
Associates or Bachelors in Health Information Preferred
Graduate of an approved certified coding program required or equivalent experience.
Certification requirements: CCS
The candidate must have at least 5 years or more of recent inpatient medical coding experience at a large (300+ beds) acute care facility and be certified.
Large Facility Experience, Trauma experience, teaching facility experience. Experience with coding orthopedics, cardiology, and neurology.
Thorough knowledge of ICD 10 CM and CPT coding principles and rules, Coding Clinic Guidelines and Coding Compliance
Current Continuing Education Credits.
Productive and Accurate
Working knowledge of disease processes, MS-DRG and APC classification and reimbursement structures, applicable coding edits and general knowledge of Local Coverage Decisions as it relates to coding and billing
Effective written and verbal communication skills
Experience with encoder technology, computerized abstracting systems, and electronic medical record systems
Ability to work independently
Microsoft Office proficient a MUST; especially Excel.
Working conditions
This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines
This position does not require travel at this time.
Physical requirements
Must be able to sit and/or stand for up to 8 hours a day.
The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.
Direct reports
This position does not have any direct reports at this time.
Job Title: Inpatient Auditor
Location: Remote
Department: Medical Coding
Reports To: Vice President of Operations
FLSA Status: Full Time/ Part Time / Per Diem, Non-Exempt
Job purpose
The Inpatient Auditor will provide assistance with all related activities, including auditing of facility inpatient charts. Inpatient Auditor will also review medical record encounter to ensure that assigned codes meet required coding guidelines.
Duties and responsibilities
Review assigned ICD10 CM Diagnosis Codes and ICD 10 PCS Procedure Codes for assigned accounts.
Review the selected and sequenced principal and secondary diagnosis and procedure codes.
Review assigned DRG to ensure it is appropriate.
Review the medical record and all applicable documentation to determine the appropriate codes were assigned for the services and diagnoses and document findings in an excel spreadsheet and/ or auditing tool.
Be knowledgeable of billing and coding requirements for governmental guidelines and private insurance payers.
Review the abstract of statistical data from the patient record and enter information following the facility guidelines.
Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.
Review documentation of various providers to determine accurate coding for all medical services and surgical procedures from available medical records within electronic medical records.
Review to determine if the diagnosis is unclear prepare and assign queries following the facility guidelines for the query process.
Identify missed query opportunities.
Determine that all appropriate diagnoses were assigned to the most specific ICD-10 code.
Assist other departments in coding and reimbursement issues.
Follow all HIPAA regulations and uphold a higher standard around privacy requirements.
Develop trusted relationships with the client contacts and other team members around the globe.
Adhere to all internal competencies, behaviors, policies and procedures to ensure efficient work processes.
Completes all assigned work in a timely manner based on internal, client and/or payer standards.
Maintain at least a 95% accuracy rate at all times.
Maintain productivity standards, tracking and deadlines.
Maintain and complete accurate productivity and tracking logs.
Keep all equipment updated and active on the internet.
Comply with established facility policies and procedures.
Skills and Qualifications
High school or GED required.
Associates or Bachelors in Health Information preferred
Graduate of an approved certified coding program required or equivalent experience.
Certification requirements: CCS
The candidate must have at least 5 years or more of recent inpatient medical coding experience at a large (300+ beds) acute care facility and be certified.
Large Facility Experience, Trauma experience, teaching facility experience. Experience with coding orthopedics, cardiology, and neurology.
Thorough knowledge of ICD 10 CM and CPT coding principles and rules, Coding Clinic Guidelines and Coding Compliance
Current Continuing Education Credits.
Productive and Accurate
Working knowledge of disease processes, MS-DRG and APC classification and reimbursement structures, applicable coding edits and general knowledge of Local Coverage Decisions as it relates to coding and billing
Effective written and verbal communication skills
Experience with encoder technology, computerized abstracting systems, and electronic medical record systems
Ability to work independently
Microsoft Office proficient a MUST; especially Excel.
Working conditions
This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines
This position does not require travel at this time.
Physical requirements
Must be able to sit and/or stand for up to 8 hours a day.
The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.
Direct reports
This position does not have any direct reports at this time.
Job Title: Inpatient-Outpatient Auditor
Location: Remote (within United States of America territory)
Department: Medical Coding
Reports To: Vice President of Operations
FLSA Status: Part Time only / Per Diem, Non-Exempt
Job purpose
The Inpatient/Outpatient Auditor will provide assistance with all related activities, including auditing of facility inpatient charts. Inpatient Auditor will also review medical record encounter to ensure that assigned codes meet required coding guidelines.
Duties and responsibilities
Review assigned ICD10 CM Diagnosis Codes and ICD 10 PCS Procedure Codes for assigned accounts.
Review the selected and sequenced principal and secondary diagnosis and procedure codes.
Review assigned DRG to ensure it is appropriate.
Review the medical record and all applicable documentation to determine the appropriate codes were assigned for the services and diagnoses and document findings in an excel spreadsheet and/ or auditing tool.
Review assigned ICD-10- CM/PCS and CPT codes with modifiers for services provided in the facility environment (Ancillary, ED, Evaluation and Management, Observations, Outpatient surgeries, and/ or Professional Fee Coding) depending on the specific client assignment.
Review the medical record and all applicable documentation to determine the appropriate codes was assigned for the services and diagnoses and document the findings in an excel spreadsheet and/ or auditing tool.
Ensures diagnosis codes meet local and national medical necessity guidelines.
Be knowledgeable of billing and coding requirements for governmental guidelines and private insurance payers.
Review the abstract of statistical data from the patient record and enter information following the facility guidelines.
Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.
Review documentation of various providers to determine accurate coding for all medical services and surgical procedures from available medical records within electronic medical records.
Review to determine if the diagnosis is unclear prepare and assign queries following the facility guidelines for the query process.
Identify missed query opportunities.
Determine that all appropriate diagnoses were assigned to the most specific ICD-10 code.
Assist other departments in coding and reimbursement issues.
Follow all HIPAA regulations and uphold a higher standard around privacy requirements.
Develop trusted relationships with the client contacts and other team members around the globe.
Adhere to all internal competencies, behaviors, policies and procedures to ensure efficient work processes.
Completes all assigned work in a timely manner based on internal, client and/or payer standards.
Maintain at least a 95% accuracy rate at all times.
Maintain productivity standards, tracking and deadlines.
Maintain and complete accurate productivity and tracking logs.
Keep all equipment updated and active on the internet.
Comply with established facility policies and procedures.
Skills and Qualifications
High school or GED required.
Associates or Bachelors in Health Information preferred
Graduate of an approved certified coding program required or equivalent experience.
Certification requirements: CCS
The candidate must have at least 5 years or more of recent inpatient medical coding experience at a large (300+ beds) acute care facility and be certified.
Large Facility Experience, Trauma experience, teaching facility experience. Experience with coding orthopedics, cardiology, and neurology.
Thorough knowledge of ICD 10 CM and CPT coding principles and rules, Coding Clinic Guidelines and Coding Compliance
Current Continuing Education Credits.
Productive and Accurate
Working knowledge of disease processes, MS-DRG and APC classification and reimbursement structures, applicable coding edits and general knowledge of Local Coverage Decisions as it relates to coding and billing
Effective written and verbal communication skills
Experience with encoder technology, computerized abstracting systems, and electronic medical record systems
Ability to work independently
Microsoft Office proficient a MUST; especially Excel.
Working conditions
This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines
This position does not require travel at this time
Physical requirements
Must be able to sit and/or stand for up to 8 hours a day.
The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.
Direct reports
This position does not have any direct reports at this time.
Job Title: Lead Outpatient Medical Coder
Location: Remote
Department: Medical Coding
Reports To: Vice President of Operations
FLSA Status: Full Time/ Part Time / Per Diem, Non-Exempt
Job purpose
The lead outpatient medical coder will provide assistance with all related activities, including coding of facility charts or professional services, training, analysis and audits. Auditing/training will include, but not be limited to, Electronic Medical Record navigation, coding guidelines, ICD, CPT, Medical necessity, modifiers and denials as well as coder competencies, and audits of coded services.
Duties and responsibilities
Assign ICD-10- CM/PCS and CPT codes with modifiers for services provided in the facility (outpatient surgeries, ED, and ancillary) environment depending on the specific client assignment.
Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.
Ensures diagnosis codes meet local and national medical necessity guidelines.
Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.
Follow all HIPAA regulations and uphold a higher standard around privacy requirements.
Trains and orients new team members according to client specific guidelines while utilizing the facility encoder, CAC and EMR.
Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.
Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance.
Assists Coding leadership with continuing education for all coding personnel.
Facilitates peer review and training for Coding personnel.
Prepares and performs coding audits to ensure consistent and high quality coding.
Resolves error reports associated with billing process and identifies and reports error patterns.
Review and resolves coding edits and denials. Assists with rebilling accounts when necessary.
Coordinates flow of information between coding and other departments, which include Medical Records, Medical Audit, Patient Accounts, Performance Improvement, Corporate Compliance, Clinical Care Management and other coding reviews as requested.
Audits outpatient medical records to identify the appropriate diagnosis and procedure codes, as well as all other appropriate secondary diagnoses and procedure codes.
Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding.
Must meet all coder/auditor productivity and quality goals.
Skills and Qualifications
High school or GED required.
Associates or Bachelors in Health Information Preferred
CPC or CCS Certification Required
Three to Five years of relevant coding and auditing experience in the areas of outpatient surgeries, ED, and ancillary.
Previous training, auditing, and leadership experience required.
Extensive knowledge of ICD, CPT, HCPCS, Medical Necessity, Modifiers, and Denials
Must display sophisticated writing and interpersonal communication skills.
Excellent organizational skills and ability to work independently.
Proficiency in Microsoft Office, including Outlook, Excel, PowerPoint.
Working conditions
This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines
This position does not requires travel.
Physical requirements
Must be able to sit and/or stand for up to 8 hours a day.
The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.
Direct reports
This position has no direct reports
Job Title: Outpatient Medical Coder
Location: Remote
Department: Medical Coding
Reports To: Vice President of Operations
FLSA Status: Full Time, Part Time, Per Diem/ Non Exempt
Job purpose
The outpatient medical coder will provide assistance with all related activities, including coding of facility charts or professional services. Electronic Medical Record navigation, coding guidelines, ICD, CPT, Medical necessity, modifiers and denials as well as coder competencies, and audits of coded services.
Duties and responsibilities
Assign ICD-10- CM/PCS and CPT codes with modifiers for services provided in the facility environment (Ancillary, ED, Evaluation and Management, Observations, Outpatient surgeries, and/ or Professional Fee Coding) depending on the specific client assignment.
Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.
Ensures diagnosis codes meet local and national medical necessity guidelines.
Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.
Follow all HIPAA regulations and uphold a higher standard around privacy requirements.
Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.
Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance.
Review and resolves coding edits and denials. Assists with rebilling accounts when necessary.
Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding.
Must meet all coder productivity and quality goals.
Maintain a 95% accuracy rate.
And other duties as assigned.
Skills and Qualifications
High School Diploma or GED required.
Associates or Bachelors in Health Information Preferred
CCS, Certification Required
Three to Five years of outpatient coding experience.
Knowledge of ICD, CPT, HCPCS, Anatomy , Physiology, Medical Necessity, Modifiers, and Denials
Must display sophisticated writing and interpersonal communication skills.
Excellent organizational skills and ability to work independently.
Proficiency in Microsoft Office, including Outlook, Excel, PowerPoint.
Working conditions
This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines
This position does not requires travel.
Physical requirements
Must be able to sit and/or stand for up to 8 hours a day.
The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.
Direct reports
This position has no direct reports
Job Title: Outpatient Auditor
Location: Remote
Department: Medical Coding
Reports To: Vice President of Operations
FLSA Status: Full Time, Part Time, Per Diem/ Non Exempt
Job purpose
The outpatient medical auditor will provide assistance with all related activities, including auditing of facility charts or professional services. Electronic Medical Record navigation, coding guidelines, ICD, CPT, Medical necessity, modifiers and denials as well as coder competencies, and audits of coded services.
Duties and responsibilities
Review assigned ICD-10- CM/PCS and CPT codes with modifiers for services provided in the facility environment (Ancillary, ED, Evaluation and Management, Observations, Outpatient surgeries, and/ or Professional Fee Coding) depending on the specific client assignment.
Review the medical record and all applicable documentation to determine the appropriate codes was assigned for the services and diagnoses and document the findings in an excel spreadsheet and/ or auditing tool.
Ensures diagnosis codes meet local and national medical necessity guidelines.
Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.
Follow all HIPAA regulations and uphold a higher standard around privacy requirements.
Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.
Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance.
Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding.
Must meet all auditor productivity and quality goals.
Maintain a 95% accuracy rate.
And other duties as assigned.
Skills and Qualifications
High School Diploma or GED required.
Associates or Bachelors in Health Information Preferred
CCS Required
Three to Five years of outpatient coding experience.
Knowledge of ICD, CPT, HCPCS, Anatomy , Physiology, Medical Necessity, Modifiers, and Denials
Must display sophisticated writing and interpersonal communication skills.
Excellent organizational skills and ability to work independently.
Proficiency in Microsoft Office, including Outlook, Excel, PowerPoint.
Working conditions
This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines
This position does not requires travel.
Physical requirements
Must be able to sit and/or stand for up to 8 hours a day.
The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.
Direct reports
This position has no direct reports
Job Title: Inpatient Concurrent Medical Coder
Location: Remote
Department: Medical Coding
Reports To: Vice President of Operations
FLSA Status: Full Time, Part Time, Per Diem, Non-Exempt
Job purpose
The Inpatient Concurrent Medical Coder will provide assistance with all related activities, including coding of facility charts or professional services, training, analysis and audits. Inpatient Concurrent Medical Coder is also responsible for communicating with clients and Acusis management around the coding and clinical documentation as well as potential coding, documentation and reimbursement opportunities with clients. The goal of the Inpatient Concurrent Medical Coder is to assess the technical accuracy, specificity, and completeness of provider clinical documentation, and to ensure that the documentation explicitly identifies all clinical findings and conditions present at the time of service.
Duties and responsibilities
Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses. Concurrently assign ICD-10-CM codes for diagnosis and PCS codes for procedures of a specific specialty or multiple specialties on a daily basis for inpatient charts.
Utilizes coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.
Highly detailed follow up of accounts with inconsistent documentation, query opportunities, unanswered queries, missing or incomplete op notes, path reports etc.
Under limited direction and according to clinical documentation guidelines and established policies/procedures, responsible for improving the overall quality and completeness of clinical documentation.
Conducts reviews of clinical documentation within the inpatient medical record to provide Clinical Documentation Improvement (CDI) program oversight to achieve accurate and detailed documentation.
This position collaborates with providers and other healthcare team members to make improvements that result in accurate, comprehensive documentation that reflects completely the clinical treatment, decisions, and diagnoses for the patient.
This position also involves writing queries without a template to physicians. Must be willing to answer questions and explain the need for certain queries.
Ensures appropriate provider documentation for clinically indicated conditions or procedures supports appropriate assignment of severity of illness, expected risk of mortality, intensity of service and resource consumption, which in turn accurately portrays the facility’s quality outcomes ratings, reduces compliance risks, and captures appropriate reimbursement.
Educates coders, physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the health record.
Provides formal and informal in-services as needed to physicians and ancillary staff.
Must complete DRG mismatches with coders to ensure the best DRG is captured.
Collaborates with HIM coding staff to ensure the most appropriate reimbursement is achieved for the level of service rendered to all patients.
Achieves and maintains a minimum accuracy rate consistent with Facility, Division, or Corporate program requirements.
Participates in the analysis and trending of statistical data to identify opportunities for improvement.
Assists with the preparation and presentation of clinical documentation monitoring/trending reports for review with hospital and medical staff leadership.
Follow all HIPAA regulations and uphold a higher standard around privacy requirements.
Develop trusted relationships with the client contacts. Communicate daily with the client (emails, questions on unusual situations etc.)
Administrative tasks (multiple daily emails, multiple spreadsheets, tracking of unanswered queries, detailed productivity reports)
Completes all assigned work in a timely manner based on internal, client and/or payer standards.
Maintain productivity and quality standards, tracking and deadlines.
Keep all equipment updated and active on the internet.
Comply with established facility policies and procedures.
Complete other duties as assigned.
Skills and Qualifications
High school or GED required.
Graduate of an approved certified coding program required or equivalent experience.
Active certification with AHIMA (CCS, RHIA, or RHIT) as applicable to skill set.
Current Continuing Education Credits.
Five+ years of inpatient facility coding experience.
Experience using Electronic Medical Records and/or billing/coding systems a plus.
A positive team-member, who listens to others opinions, accepts and uses suggestions for improvement and contributes to the team effort.
A self-starter able to prioritize, be well-organized, motivated, flexible, and able to think outside the box.
Proven training and leadership skilled needed
Must display sophisticated writing and interpersonal communication skills.
Excellent organizational skills and ability to work independently.
Proficiency in Microsoft Office, including Outlook, Excel, PowerPoint.
Working conditions
This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines
This position does not requires travel.
Physical requirements
Must be able to sit for up to 8 hours a day.
This is a largely sedentary role, however some filing is required. This would require the ability to lift files, open filing cabinets and bending or standing on a stool as necessary.
The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.
Direct reports
This position does not have any direct reports at this time.
Job Title: Outpatient Pro Fee Medical Coder
Location: Remote(within United States of America territory)
Department: Medical Coding
Reports To: Vice President of Operations
FLSA Status: Full Time, Part Time, Per Diem, Non-Exempt
Job purpose
The outpatient medical coder will provide assistance with all related activities, including coding of facility charts or professional services. Electronic Medical Record navigation, coding guidelines, ICD, CPT, Medical necessity, modifiers and denials as well as coder competencies, and audits of coded services.
Duties and responsibilities
Assign ICD-10- CM/PCS and CPT codes with modifiers for services provided in the facility environment (Ancillary, ED, Evaluation and Management, Observations, Outpatient surgeries, and/ or Professional Fee Coding) depending on the specific client assignment.
Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.
Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.
Follow all HIPAA regulations and uphold a higher standard around privacy requirements.
Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.
Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance.
Review and resolves coding edits and denials. Assists with rebilling accounts when necessary.
Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding.
Must meet all coder productivity and quality goals.
Maintain a 95% accuracy rate.
And other duties as assigned.
Skills and Qualifications
High school or GED required.
High School Diploma or GED required.
Associates or Bachelors in Health Information Preferred
CPC or CCS Certification Required
Three to Five years of outpatient coding experience.
Knowledge of ICD, CPT, HCPCS, Anatomy , Physiology, Medical Necessity, Modifiers, and Denials
Must display sophisticated writing and interpersonal communication skills.
Excellent organizational skills and ability to work independently.
Proficiency in Microsoft Office, including Outlook, Excel, PowerPoint.
Working conditions
This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines
This position does not requires travel.
Physical requirements
Must be able to sit and/or stand for up to 8 hours a day.
The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.
Direct reports
This position does not have any direct reports at this time.
Job Title: Outpatient Professional Medical Code
Location: Remote(within United States of America territory)
Department: Medical Coding
Reports To: Vice President of Operations
FLSA Status: Full Time, Part Time, Per Diem, Non-Exempt
Job purpose
The outpatient medical coder will provide assistance with all related activities, including coding of facility charts or professional services. Electronic Medical Record navigation, coding guidelines, ICD, CPT, Medical necessity, modifiers and denials as well as coder competencies, and audits of coded services
Duties and responsibilities
The outpatient medical coder will provide assistance with all related activities, including coding of facility charts or professional services. Electronic Medical Record navigation, coding guidelines, ICD, CPT, Medical necessity, modifiers and denials as well as coder competencies, and audits of coded services
Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.
Ensures diagnosis codes meet local and national medical necessity guidelines.
Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.
Follow all HIPAA regulations and uphold a higher standard around privacy requirements.
Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.
Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance
Review and resolves coding edits and denials. Assists with rebilling accounts when necessary.
Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding.
Must meet all coder productivity and quality goals.
Maintain a 95% accuracy rate.
And other duties as assigned.
Skills and Qualifications
High School Diploma or GED required.
Associates or Bachelors in Health Information Preferred
CCS Certification Required
Three to Five years of outpatient coding experience.
Knowledge of ICD, CPT, HCPCS, Anatomy , Physiology, Medical Necessity, Modifiers, and Denials
Must display sophisticated writing and interpersonal communication skills.
Excellent organizational skills and ability to work independently.
Proficiency in Microsoft Office, including Outlook, Excel, PowerPoint.
Working conditions
This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines
This position does not requires travel.
Physical requirements
Must be able to sit and/or stand for up to 8 hours a day.
The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.
Direct reports
This position does not have any direct reports at this time.
Job Title: Outpatient Medical Coder - Pediatrics
Location: Remote(within United States of America territory)
Department: Medical Coding
Reports To: Vice President of Operations
FLSA Status: Part Time, Per Diem, Non-Exempt
Job purpose
The outpatient medical coder will provide assistance with all related activities, including coding of facility charts or professional services. Electronic Medical Record navigation, coding guidelines, ICD, CPT, Medical necessity, modifiers and denials as well as coder competencies, and audits of coded services.
Duties and responsibilities
Assign ICD-10- CM/PCS and CPT codes with modifiers for services provided in the facility environment (Ancillary, ED, Evaluation and Management, Observations, Outpatient surgeries, and/ or Professional Fee Coding) depending on the specific client assignment with pediatric coding experience.
Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.
Ensures diagnosis codes meet local and national medical necessity guidelines.
Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.
Follow all HIPAA regulations and uphold a higher standard around privacy requirements
Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.
Review and resolves coding edits and denials. Assists with rebilling accounts when necessary.
Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding.
Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding.
Must meet all coder productivity and quality goals
Maintain a 95% accuracy rate.
And other duties as assigned.
Skills and Qualifications
High School Diploma or GED required
Associates or Bachelors in Health Information Preferred
CCS, Certification Required
Three to Five years of outpatient pediatric coding experience.
Knowledge of ICD, CPT, HCPCS, Anatomy , Physiology, Medical Necessity, Modifiers, and Denials
Must display sophisticated writing and interpersonal communication skills
Excellent organizational skills and ability to work independently.
Proficiency in Microsoft Office, including Outlook, Excel, PowerPoint.
Working conditions
This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines
This position does not requires travel.
Physical requirements
Must be able to sit and/or stand for up to 8 hours a day.
The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.
Direct reports
This position does not have any direct reports at this time.
Job Title: Inpatient Coder - Long Term Acute Care/Inpatient Rehabilitation Hospital
Location: Remote(within United States of America territory)
Department: Medical Coding
Reports To: Vice President of Operations
FLSA Status: Part Time, Per Diem, Non-Exempt
Job purpose
Inpatient Coder – Large Acute Care Hospital System will provide assistance with all related activities, including coding of facility inpatient charts. The Inpatient Coder is also responsible for communicating with clients and Acusis management around the coding and potential coding opportunities with clients. Coders also review medical record encounter to ensure that assigned codes meet required coding guidelines.
Duties and responsibilities
Assign ICD10 CM Diagnosis Codes and ICD 10 PCS Procedure Codes for assigned accounts.
Select and sequence principal and secondary diagnosis and procedure codes
Assign appropriate DRG
Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.
Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.
Be knowledgeable of billing and coding requirements for governmental guidelines and private insurance payers.
Abstract statistical data from the patient record and enter information following the facility guidelines.
Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.
If the diagnosis is unclear prepare and assign queries following the facility guidelines for the query process.
Determine all appropriate diagnoses and assign the most specific ICD-10 code.
Assist other departments in coding and reimbursement issues.
Follow all HIPAA regulations and uphold a higher standard around privacy requirements.
Develop trusted relationships with the client contacts and other team members around the globe.
Adhere to all internal competencies, behaviors, policies and procedures to ensure efficient work processes.
Completes all assigned work in a timely manner based on internal, client and/or payer standards.
Maintain at least a 95% accuracy rate at all times
Maintain productivity standards, tracking and deadlines.
Maintain and complete accurate productivity and tracking logs.
Keep all equipment updated and active on the internet.
Comply with established facility policies and procedures.
Skills and Qualifications
High school or GED required.
Associates or Bachelors in Health Information Preferred
CPC or CCS Certification Required
Graduate of an approved certified coding program required or equivalent experience.
Certification requirements: CCS
The candidate must have at least 5 years or more of recent inpatient medical coding experience at a long term acute care/inpatient rehabilitation facility and be certified.
Large Facility Experience, Trauma experience, teaching facility experience. Experience with coding orthopedics, cardiology, and neurology.
Thorough knowledge of ICD 10 CM and CPT coding principles and rules, Coding Clinic Guidelines and Coding Compliance
Current Continuing Education Credits.
Productive and Accurate
Working knowledge of disease processes, MS-DRG and APC classification and reimbursement structures, applicable coding edits and general knowledge of Local Coverage Decisions as it relates to coding and billing
Effective written and verbal communication skills
Experience with encoder technology, computerized abstracting systems, and electronic medical record systems
Ability to work independently
Microsoft Office proficient a MUST; especially Excel
Working conditions
This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines
This position does not requires travel.
Physical requirements
Must be able to sit and/or stand for up to 8 hours a day.
The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.
Direct reports
This position has no direct reports
Job Title: Outpatient Medical Auditor
Location: Remote
Department: Medical Coding
Reports To: Vice President of Operations
FLSA Status: Full Time,Part Time, Per Diem, Non-Exempt
Job purpose
The outpatient medical auditor will provide assistance with all related activities, including auditing of facility charts or professional services. Electronic Medical Record navigation, coding guidelines, ICD, CPT, Medical necessity, modifiers and denials as well as coder competencies, and audits of coded services.
Duties and responsibilities
Review assigned ICD-10- CM/PCS and CPT codes with modifiers for services provided in the facility environment (Ancillary, ED, Evaluation and Management, Observations, Outpatient surgeries, and/ or Professional Fee Coding) depending on the specific client assignment.
Review the medical record and all applicable documentation to determine the appropriate codes was assigned for the services and diagnoses and document the findings in an excel spreadsheet and/ or auditing tool.
Ensures diagnosis codes meet local and national medical necessity guidelines.
Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.
Follow all HIPAA regulations and uphold a higher standard around privacy requirements.
Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.
Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance.
Review and resolves coding edits and denials. Assists with rebilling accounts when necessary.
Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding.
Must meet all auditor productivity and quality goals.
Maintain a 95% accuracy rate.
And other duties as assigned.
Skills and Qualifications
High school or GED required.
Associates or Bachelors in Health Information Preferred
CCS Certification Required
Knowledge of ICD, CPT, HCPCS, Anatomy , Physiology, Medical Necessity, Modifiers, and Denials
Must display sophisticated writing and interpersonal communication skills.
Excellent organizational skills and ability to work independently.
Proficiency in Microsoft Office, including Outlook, Excel, PowerPoint
Working conditions
This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines
This position does not requires travel.
Physical requirements
Must be able to sit and/or stand for up to 8 hours a day.
The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.
Direct reports
This position has no direct reports
Job Title: Outpatient Claims Editor
Location: Remote
Department: Medical Coding
Reports To: Vice President of Operations
FLSA Status: Full Time only/Non-Exempt.
Job purpose
The Outpatient Claim Editor will provide assistance with all related activities, including auditing of facility charts to determine the reason for the denied claim. Electronic Medical Record navigation, coding guidelines, ICD, CPT, Medical necessity, modifiers and denials as well as coder competencies, and audits of coded services.
Duties and responsibilities
Review assigned ICD-10- CM/PCS and CPT codes with modifiers for services provided in the facility environment (Ancillary, ED, Evaluation and Management, Observations, IR, Cardiac Cath, and Outpatient surgeries) depending on the specific client assignment.
Review the medical record and all applicable documentation to determine the appropriate codes was assigned for the services and diagnoses and document the findings in an excel spreadsheet and/ or auditing tool.
Ensures diagnosis codes meet local and national medical necessity guidelines.
Code combined accounts.
Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.
Follow all HIPAA regulations and uphold a higher standard around privacy requirements.
Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.
Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance.
Review and resolves coding edits and denials. Assists with rebilling accounts when necessary.
Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding.
Must meet all auditor productivity.
Maintain a 95% accuracy rate.
And other duties as assigned.
Skills and Qualifications
High School Diploma or GED required.
Associates or Bachelors in Health Information Preferred
CCS Required
Three to Five years of outpatient coding experience.
Knowledge of ICD, CPT, HCPCS, Anatomy , Physiology, Medical Necessity, Modifiers, and Denials
Must display sophisticated writing and interpersonal communication skills.
Excellent organizational skills and ability to work independently.
Proficiency in Microsoft Office, including Outlook, Excel, PowerPoint.
Working conditions
This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines
This position does not requires travel.
Physical requirements
Must be able to sit for up to 8 hours a day.
The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.
Direct reports
This position has no direct reports
Job Title: Inpatient Claim Editor
Location: Remote
Department: Medical Coding
Reports To: Vice President of Operations
FLSA Status: Full Time/ Part Time / Per Diem, Non-Exempt
Job purpose
The Inpatient Claim Editor will provide assistance with all related activities, including auditing of facility inpatient charts to determine the reason for the denied claim. Inpatient Auditor will also review medical record encounter to ensure that assigned codes meet required coding guidelines.
Duties and responsibilities
Review assigned ICD10 CM Diagnosis Codes and ICD 10 PCS Procedure Codes for assigned accounts to determine the reason for the denied claim.
Review the selected and sequenced principal and secondary diagnosis and procedure codes.
Review assigned DRG to ensure it is appropriate.
Review the medical record and all applicable documentation to determine the appropriate codes were assigned for the services and diagnoses and document findings in an excel spreadsheet and/ or auditing tool.
Be knowledgeable of billing and coding requirements for governmental guidelines and private insurance payers.
Review the abstract of statistical data from the patient record and enter information following the facility guidelines.
Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.
Review documentation of various providers to determine accurate coding for all medical services and surgical procedures from available medical records within electronic medical records.
Review to determine if the diagnosis is unclear prepare and assign queries following the facility guidelines for the query process.
Identify missed query opportunities.
Determine that all appropriate diagnoses were assigned to the most specific ICD-10 code.
Assist other departments in coding and reimbursement issues.
Assist other departments in coding and reimbursement issues.
Follow all HIPAA regulations and uphold a higher standard around privacy requirements.
Follow all HIPAA regulations and uphold a higher standard around privacy requirements.
Develop trusted relationships with the client contacts and other team members around the globe.
Adhere to all internal competencies, behaviors, policies and procedures to ensure efficient work processes.
Completes all assigned work in a timely manner based on internal, client and/or payer standards.
Maintain at least a 95% accuracy rate at all times.
Maintain productivity standards, tracking and deadlines.
Keep all equipment updated and active on the internet.
Comply with established facility policies and procedures.
Skills and Qualifications
High school or GED required.
High school or GED required.High school or GED required.
Associates or Bachelors in Health Information preferred
Graduate of an approved certified coding program required or equivalent experience.
Certification requirements: CCS
The candidate must have at least 5 years or more of recent inpatient medical coding experience at a large (300+ beds) acute care facility and be certified.
Large Facility Experience, Trauma experience, teaching facility experience. Experience with coding orthopedics, cardiology, and neurology.
Thorough knowledge of ICD 10 CM and CPT coding principles and rules, Coding Clinic Guidelines and Coding Compliance
Current Continuing Education Credits.
Productive and Accurate
Working knowledge of disease processes, MS-DRG and APC classification and reimbursement structures, applicable coding edits and general knowledge of Local Coverage Decisions as it relates to coding and billing
Effective written and verbal communication skills
Experience with encoder technology, computerized abstracting systems, and electronic medical record systems
Ability to work independently
Microsoft Office proficient a MUST; especially Excel.
Working conditions
This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines
This position does not require travel at this time.
Physical requirements
Must be able to sit and/or stand for up to 8 hours a day.
The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.
Direct reports
This position does not have any direct reports at this time.
Job Title: Emergency Department (ED) Medical Coder
Location: Remote
Department: Medical Coding
Reports To: Vice President of Operations
FLSA Status: Full Time/ Part Time / Per Diem, Non-Exempt
Job purpose
The ED medical coder will provide assistance with all related activities, including coding of facility ED charts. Electronic Medical Record navigation, coding guidelines, ICD, CPT, Medical necessity, modifiers and denials as well as coder competencies, and audits of coded services.
Duties and responsibilities
Assign ICD-10- CM/PCS and CPT codes with modifiers for services provided in the facility environment (Ancillary, ED, Evaluation and Management, Observations, Outpatient surgeries, and/ or Professional Fee Coding) depending on the specific client assignment.
Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.
Ensures diagnosis codes meet local and national medical necessity guidelines.
Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.
Follow all HIPAA regulations and uphold a higher standard around privacy requirements.
Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.
Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance.
Review and resolves coding edits and denials. Assists with rebilling accounts when necessary.
Maintain a working knowledge of various laws, regulations and industry guidance that impact compliant coding.
Must meet all coder productivity and quality goals.
Maintain a 95% accuracy rate.
And other duties as assigned.
Skills and Qualifications
High School Diploma or GED required.
Associates or Bachelors in Health Information Preferred
CPC or CCS Certification Required
Three to Five years of outpatient coding experience with proficiency and prior experience having coded ED charts.
Knowledge of ICD, CPT, HCPCS, Anatomy , Physiology, Medical Necessity, Modifiers, and Denials
Must display sophisticated writing and interpersonal communication skills.
Excellent organizational skills and ability to work independently.
Proficiency in Microsoft Office, including Outlook, Excel, PowerPoint.
Working conditions
This job operates in a remote setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines
This position does not requires travel.
Physical requirements
Must be able to sit and/or stand for up to 8 hours a day.
The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects.
Direct reports
This position does not have any direct reports at this time.
At Acusis, our business focus is to simplify clinical documentation processes using the right mix of skills and technology. As an industry leader, we are compelled by our overriding passion for continuous customer satisfaction driven by superior processes. That’s how we offer a comprehensive solution for integrated clinical documentation services to various health systems, hospitals, large clinics, and Physician practices
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