Certified Medical Coder

🕒 4 days ago

🌵 Arizona, California, +5 more states – Remote

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💵 $26 - $33 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

👻 Ghost score 0%

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Logo of Boomerang Healthcare

Boomerang Healthcare

201 - 500 employees

💼 Consulting

⚖️ Legal

🏥 Healthcare

Consulting • Legal • Healthcare

Boomerang Healthcare is an early-stage or placeholder website for a company that appears to operate in the healthcare sector. The site currently shows a "coming soon" message and provides no public information about services, products, or target customers, so specific activities (e. g. , insurance, staffing, software) cannot be determined from the available content. The business is likely developing or preparing to launch its online presence.

📋 Description

• Assign accurate CPT, HCPCS, and ICD-10 codes for all services performed at BHC facilities • Apply appropriate modifier usage based on payer and service requirements • Ensure documentation supports medical necessity, procedural complexity, and level of services • Apply correct diagnosis sequencing and body-part specificity required for WC claims • Support WC-specific documentation requirements, including injury dates, causality, and treating physician narratives • Collaborate with billing teams to ensure correct claim formats, attachments, and WC payer rules are met • Ensure coding compliance with CMS, AMA, NCCI, and OIG guidelines • Participate in internal and external coding audits and implement corrective actions as needed • Identify coding trends that impact denials, underpayments, or compliance risk • Provide feedback and education to providers to improve documentation and coding accuracy • Perform review of all coding-related holds for Boomerang Health Care (BHC) to ensure documentation consistency and compliance for appropriate reimbursement • Assume other responsibilities as appropriate to the position and organizational needs

🎯 Requirements

• High school diploma or equivalent required • Active coding certification required: CPC, CCS, or equivalent (AAPC or AHIMA) • Minimum 3-5 years of medical coding experience in pain management, workers’ compensation billing • Demonstrated experience with FRP or multidisciplinary rehab models as well as Commercial and Medicare pain management coding • Ability to work in a fast-paced environment, meet daily deadlines, and collaborate with cross-functional RCM teams • Experience with multiple EHR/ Practice Management systems (IMS, Nextgen, Athena, eClinicalWorks or similar) • Basic understanding of NCCI edits and payer-specific billing guidelines • Accuracy and attention to detail, analytical thinking and problem solving and high integrity and compliance focus • Advanced proficiency in Microsoft Excel (e.g., formulas, pivot tables) and solid skills in other Microsoft Office applications • Monday-Friday, 8am-5pm 40

🏖️ Benefits

• Amazing work/life balance • Generous Medical, Dental, Vision, and Prescription benefits (PPO & HMO) • 401(K) Plan with Employer Matching • License & Tuition Reimbursements • Paid Time Off • Holiday Pay & Floating Holiday • Employee Perks and Discount Programs • Supportive environment to help you grow and succeed

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