PRN ProFee Multi-Specialty Coder

🕒 May 29

🌶️ New Mexico – Remote

🌶️ New Mexico – Remote

💵 $21 - $33 / hour

⏱ Part Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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Presbyterian Healthcare Services

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1908

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare Insurance • Non-profit

Presbyterian Healthcare Services is an integrated, nonprofit healthcare system based in New Mexico that operates hospitals, urgent care clinics, specialty and primary care practices, virtual care (VirtualPRES), and health insurance plans. The organization provides a broad range of clinical services—including neuroscience, transplant, cancer care, surgery, behavioral health, and home health—while also running community health and charitable programs (financial assistance, community support, and partnerships with medical education). It offers individual, Medicaid, Medicare Advantage, and employer health plans, plus patient tools (MyChart/myPRES), billing support, and commitment to access and quality across the state.

📋 Description

• Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS) to be used for financial reimbursement, research in accordance with Federal Regulations and Hospital and Departmental policies. • Abstracts data essential to the QI department in determining patient care issues as well as providing information to The Joint Commission. • Accesses several systems via the computer to research the medical record when needed to complete the coding in a timely manner. • Takes responsibility for accounts receivable by looking for lost documents to insure all encounters are coded, including the generation of appropriate queries, as needed. • Responsible for resolving any and all pre-bill edits, denials, etc for assigned accounts. • Maintains and disseminates up-to-date technical knowledge of legal and regulatory information from all appropriate jurisdictions concerning the given business area. This includes but is not limited to all ICD-9/10 CM, CPT-4, HCPCS, DRG, APC and/or HHRG updates and changes. • Participates in all departmental in-services and updates to stay current with the accepted coding guidelines and improve personal knowledge of medicine and treatment. • Communicates issues to the EW Clinical Coding Manager & Supervisor, as appropriate. • Must demonstrate knowledge of coding multiple areas of service and/or specialties. • Maintains at least a 95% accuracy rate. • Maintains average to high productivity based on PHS Productivity Standards. • Maintains continuing education (CE) requirements per PHS policy

🎯 Requirements

• High school diploma/GED required • Must have any one of the following coding certifications at time of hire: HCS-D, CCS, CCS-P, CPC-H or CPC, or RHIT/RHIA with achievement of one of the coding credentials above within one year of hire • One-three years experience as a coder required • Must possess computer skills including, but not limited to, Word, Excel, PowerPoint • Experience with an encoder preferred • Experience with an Electronic Medical Record preferred • Must be able to use the internet and other electronic resources for the purpose of research

🏖️ Benefits

• Medical • Dental • Vision • Short-term and long-term disability • Group term life insurance • Other optional voluntary benefits • Wellness Presbyterian's Employee Wellness rewards program