Certified Medical Coder

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🔥 0 minutes ago

🗿 South Dakota – Remote

🗿 South Dakota – Remote

💵 $25 - $31 / hour

⏰ Full Time

🟢 Junior

🏥 Medical Billing and Coding

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One Health Center OHC

WebsiteLinkedInAll Job Openings

2 - 10 employees

📚 Education

🏥 Healthcare

🔬 Science

Education • Healthcare • Science

One Health Center OHC is an organization that transfers knowledge and exchanges methods, processes and research findings across diseases, regions and organizations. It delivers regional and online training, resources and professional development to build skills and careers focused on generating and translating evidence to drive change. The center emphasizes capacity building, research skills development, and cross-disciplinary knowledge exchange to support evidence-informed decision making.

📋 Description

• Convert medical diagnoses, supplies, and processes into standardized codes for insurance claims • Ensure coding compliance with Medicare, Medicaid, and private insurance rules and regulations • Analyze and abstract medical-record information for secondary complications and comorbidities • Code diagnoses and procedures and verify that provider documentation is valid and complete • Accurately code complex records and select and sequence principal diagnoses and procedures • Verify medication, laboratory, and radiology orders support service levels and medical necessity • Ensure medical records contain correct identification, health record numbers, signatures, dates, and complete clinical notes • Review service levels and modify them when appropriate based on documentation • Complete medical records by reviewing information and notifying providers of deficiencies • Track outstanding records and resolve discrepancies by collecting and analyzing information • Communicate independently with providers and billing staff regarding coding and documentation issues • Participate in performance improvement teams and assigned committees • Perform related duties accurately, timely, and according to established standards • Use required systems, tools, and technology • Communicate effectively with internal and external stakeholders

🎯 Requirements

• Completion of a formal training program or an associate’s degree and 1 year of relevant experience; or a high school diploma/GED and 3 years of relevant experience • Certified Medical Coding Certification • Knowledge of HIPAA and HITECH • Knowledge of medical records requirements and functions • Knowledge of ICD-10, CPT 4, and HCPCS coding guidelines • Ability to apply standardized rules, procedures, or operations to perform clerical assignments and resolve recurring problems • Must comply with required criminal background checks and pre-employment drug screen • Must comply with employee health screening and immunization requirements, including MMR, Varicella, Hepatitis B, Influenza, T-dap, and COVID-19 vaccination • Ability to perform essential job functions with or without reasonable accommodation • Ability to read, write, speak, and hear • Ability to sit for extended periods and use standard office equipment • Ability to occasionally lift and carry office materials or supplies up to 25 pounds • Must maintain regular and reliable attendance • Must comply with organizational policies, procedures, and applicable laws and regulations

🏖️ Benefits

• Tribal preference for qualified Indian/Tribal candidates when qualifications are equal • Employment contingent upon required criminal background checks and pre-employment drug screen • Employee health screening and required immunizations covered by employment health procedures • Reasonable accommodation available for essential job functions