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    Professional Coder/Biller

    Premier Health
    5+ years
    $50,000 to $70,000 per year (plus commission)
    Remote, USA
    10 Nov. 11, 2024
    Job Description
    Job Type: Full Time Remote Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Causality Assessment, Clinical SAS Programming, Communication Skills, CPC Certified, GCP guidelines, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding, ICH guidelines, ICSR Case Processing, Interpersonal Skill, Labelling Assessment, MedDRA Coding, Medical Billing, Medical Coding, Medical Terminology, Narrative Writing, Research & Development, Technical Skill, Triage of ICSRs, WHO DD Coding

    Job Title: Remote Outpatient Coder/Biller

    Location: Remote (Preferred candidates from the Southeast U.S.)
    Travel: 15-20% for client set-up and implementation

    Job Overview:

    Premier Health is seeking a Remote Outpatient Coder/Biller to join their team. This role involves coding professional services for outpatient services, including Evaluation & Management (E/M) visits, clinic-based procedures, laboratory, radiology, nursing home visits, physical therapy, and oncology services. The position also requires familiarity with Athena EMR for verifying charges and code assignments. The ideal candidate will have extensive experience in outpatient coding, billing, claim denials, and revenue cycle management.

    Key Responsibilities:

    • Outpatient Coding: Accurately code all outpatient services, including E/M, clinic procedures, laboratory, radiology, nursing home visits, physical therapy, and oncology services.
    • Modifier Assignment: Assign appropriate modifiers to CPT codes.
    • Coding Review: Review and reconcile coding for claims, ensuring compliance with payer guidelines (Medicare, Medicaid, and Commercial).
    • Communication: Maintain regular communication with clients regarding coding concerns, documentation issues, and policy updates.
    • Denial Management: Work on coding denial work queues and assist with claim appeals.
    • Implementation Support: Serve as the primary client contact for set-up and implementation of coding processes and systems.
    • EMR Usage: Utilize Athena EMR to ensure correct charge verification and code assignment.

    Required Qualifications:

    • Education: Completion of an AAPC or AHIMA approved Coding Certificate Program; High School diploma or GED.
    • Experience:
      • Minimum 5 years of physician practice coding in an outpatient clinic setting.
      • At least 5 years of experience in professional billing, claim denials, appeals, and revenue cycle management.
    • Technical Skills: Proficiency in Athena EMR, as well as MS Excel, Word, and PowerPoint.
    • Coding Knowledge: Expert knowledge of CPT, ICD-10, HCPCS, medical terminology, and coding guidelines.
    • Payer Knowledge: Strong understanding of Medicare, Medicaid, and Commercial payer coding/billing guidelines, including medical policy restrictions (LCDs and NCDs).
    • Additional Skills:
      • Familiarity with coding in a Provider-Based setting is a plus.
      • Strong communication, analytical, and research skills.
      • Ability to prioritize and meet deadlines while maintaining high productivity and quality standards.
      • Ability to work independently and as part of a team in a remote setting.
      • Project management or client implementation experience.

    Certifications (Required):

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

    Compensation & Benefits:

    • Travel: 15-20% travel for client set-up and implementation.
    • Work Setting: 100% remote.

    How to Apply:

    For immediate consideration, please send your resume to [Insert Contact Email].

    About Premier Health:

    Premier Health is a leading healthcare services provider committed to delivering quality patient care. We pride ourselves on fostering a collaborative and dynamic work environment, and we are looking for talented individuals to join our team.

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