Medical Coder

🔥 1 minute ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

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Innovaccer

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2014

🏥 Healthcare

💼 Consulting

📦 Logistics

💰 $150M Series E on 2021-12

Healthcare • Consulting • Logistics

Innovaccer is a healthcare technology company dedicated to transforming how healthcare information is utilized and accessed. They provide a comprehensive Health Cloud that aims to accelerate digital transformation for providers, payers, and life sciences companies by offering unified healthcare data and analytics. Innovaccer leverages artificial intelligence to automate tasks, process medical data, and generate insights to improve clinical and financial outcomes. Their solutions focus on integrating and optimizing healthcare systems, promoting value-based care, improving patient engagement, and reducing the administrative burden on healthcare providers. Innovaccer's platform supports various healthcare stakeholders through advanced data activation, analytics, and streamlined workflows, striving to improve healthcare delivery and patient care globally.

📋 Description

• Independently review, analyze, and resolve assigned front-end scrubs, claim holds, and denied claims • Average 10 front-end holds/denials per hour • Review coding and resubmit corrected claims to insurance • Create appeal letters/forms with medical documentation • Maintain a minimum of 92% coding accuracy • Assign ICD-10-CM and CPT codes with appropriate modifiers for professional-fee services • Review medical records and documentation to determine appropriate codes for services and diagnoses • Ensure diagnosis codes meet local and national medical necessity guidelines • Use internal coding resources, payer guidelines, and reference materials for accurate, compliant coding • Follow HIPAA regulations and maintain privacy and confidentiality • Maintain current knowledge of laws, regulations, payer policies, and industry guidance • Participate in department, one-on-one, and mentorship meetings with the assigned Coding Team Lead • Escalate client trends and coding-related questions to the Coding Manager • Maintain and complete CEU requirements • Perform other assigned duties

🎯 Requirements

• Must hold a current AAPC or AHIMA Coding Certification for a minimum of 3 years • Minimum of 3+ years of professional coding experience • Strong working knowledge of CPT, ICD-10-CM, medical terminology, anatomy and physiology, and state and federal Medicare reimbursement guidelines • Prior experience reviewing front-end coding errors before submitting to insurance • Prior experience reviewing and correcting coding from insurance denials • Prior experience submitting corrected claims and appeals • Prior experience with insurance guidelines and EOBs • Familiarity with proper English grammar, usage, and professional documentation standards • Ability to research and analyze data, draw logical conclusions, and resolve coding or documentation issues • Ability to read, interpret, and apply policies, procedures, laws, and regulations • Ability to accurately read and interpret medical documentation, clinical terminology, and documented procedures • Demonstrated ability to exercise independent judgment in coding and claim resolution • Excellent written and verbal communication skills, including the ability to prepare reports, clarify documentation needs, and maintain collaborative working relationships with physicians and staff • Strong commitment to maintaining confidentiality and safeguarding protected health information • Prior experience working in a medical billing environment with strict adherence to HIPAA compliance requirements • Demonstrated proficiency in Microsoft Office Suite (Word, Excel, Outlook, Teams) • Employment eligibility verification through E-Verify for newly hired employees based in the United States

🏖️ Benefits

• 20 days of fixed paid time off per year, in addition to company holidays • Generous parental leave • Monetary incentives and company-wide recognition for impact and dedication • Medical, dental, and vision insurance • 100% company-paid short- and long-term disability insurance • 100% company-paid basic life insurance • Discounted legal aid • Pet insurance