Coder

Job not on LinkedIn

🔥 19 hours ago

⚓ Rhode Island – Remote

⚓ Rhode Island – Remote

💵 $24 - $40 / hour

⏰ Full Time

🟢 Junior

🏥 Medical Billing and Coding

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Brown Medicine

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1995

🏥 Healthcare

📚 Education

🔬 Science

Healthcare • Education • Science

Brown Medicine is a medical practice group that has joined Brown Health Medical Group, providing integrated outpatient and specialty care across a network of providers under a single electronic health record. It offers patient-facing services such as primary and specialty care, televisits, and online patient portals (transitioning to MyChart), as well as administrative and billing support, and is affiliated with Brown University Health and the Warren Alpert Medical School.

📋 Description

• Review, interpret, and assign ICD-10-CM, CPT, and HCPCS Level II codes for physician and qualified healthcare provider services • Enter coded and abstracted information into 3M 360 Finder • Assign accurate APC codes and review coding edits in 3M • Follow NCCI edits and medical necessity requirements • Resolve accounts on the claims edit database • Assign injection and infusion codes for observation patients • Maintain an average coding accuracy rating of 95% and meet productivity standards • Assign E/M, ICD-10-CM, CPT, and chargemaster codes to clinic visits • Verify physician-entered diagnosis, ICD, and CPT codes against medical record documentation • Identify and resolve NCCI edits before final billing • Report documentation insufficiencies to responsible physicians • Follow Rhode Island Hospital facility coding guidelines for adult patients and 1995 E/M guidelines for patients under 18 • Monitor and resolve rejected accounts on Claims Edit Reports and eClinicalWorks error reports • Research coding conflicts involving chargemaster, medical necessity, and billing issues • Refer complex coding issues to the coding validator or supervisor • Review outpatient uncoded reports and resolve old or inappropriate accounts • Update patient financial accounts in Patient Management and Patient Accounting systems • Rebill accounts according to established procedures • Perform related clerical duties • Maintain current coding knowledge and expertise • Participate in compliance initiatives to reduce coding denials and audit findings • Maintain compliance with coding, privacy, security, payer, and organizational requirements • Accurately resolve coding edits, denials, and discrepancies • Work independently and attend scheduled virtual meetings

🎯 Requirements

• High school diploma or equivalent required • One or more required certifications: CPC (Certified Professional Coder) – AAPC; CCS or CCS-P (Certified Coding Specialist / Physician-based) – AHIMA • 1–3+ years of professional physician-based coding experience • Specialty experience is a plus • Strong knowledge of ICD-10-CM, CPT, and HCPCS Level II coding guidelines • Knowledge of medical terminology, anatomy, and healthcare documentation • Ability to interpret complex medical documentation and apply coding guidelines accurately • Strong written and verbal communication skills • Proficiency with electronic health records (EHR); Epic experience preferred • Experience with E/M coding and/or surgical/procedural coding • Must maintain a secure, private workspace to protect PHI • Must use organization-approved secure systems, VPN, and multi-factor authentication • Ability to meet deadlines while achieving productivity and accuracy standards • Ability to work independently within departmental policies and practices • Ability to refer complex problems to a supervisor when clarification is required • No supervisory responsibility • Must comply with CMS regulations, NCCI edits, MAC guidance, payer policies, organizational policies, HIPAA, data privacy and security policies, ACDIS/AHIMA query guidelines, and ethical coding standards

🏖️ Benefits

• Fully remote work arrangement • Organization-approved secure systems, VPN, and multi-factor authentication • Virtual meetings and communication platforms • Day shift, 8a–5p schedule • Equal employment opportunity and harassment-free work environment