Coder

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Solaris Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2020

⚕️ Healthcare Insurance

🏥 Healthcare

🧬 Biotechnology

Healthcare Insurance • Healthcare • Biotechnology

Solaris Health is a leading national healthcare platform committed to enhancing access to specialty healthcare and continually improving patient outcomes. With over 1 million unique patients annually and 730+ providers across the country, Solaris Health operates 236+ patient offices in 14 states, focusing on innovative delivery of high-quality, value-driven care.

📋 Description

• Review chart documentation for accuracy and completeness • Identify inconsistencies in chart documentation and work with staff and the Coding Supervisor to resolve issues • Communicate with Claims Resolution Specialists and Business Office staff to resolve errors and clarify issues • Ensure accurate coding of diagnoses, procedures, and modifiers • Work collaboratively with providers to obtain complete documentation supporting coding • Meet quality and productivity standards and monitor compliance with policies and procedures • Identify process opportunity trends and recommend efficiency improvements • Maintain current knowledge of coding guidelines and state and federal regulations • Ensure adherence to third-party and governmental coding, documentation, compliance, and reimbursement regulations • Escalate coding issues, trends, discrepancies, and payer changes to the Coding Supervisor • Participate in special projects, personal development training, and cross training • Collaborate with peers and functional areas of the Coding and Revenue Integrity department • Maintain patient confidentiality and report suspected compliance concerns or violations • Complete annual compliance training • Perform other related duties as assigned

🎯 Requirements

• CPC, CCS-P, CMRS or AAPC required • High School Diploma or equivalent required • At least 3 years experience required • Entry level Medical Billing and Coding Terminology preferred • Experience in Urology or physician practice environment preferred • In-depth knowledge of CPT, HCPCS, modifiers, diagnosis codes, insurance coverage plans, medical terminology, and anatomy and physiology • Knowledge of medical terminology, CPT and ICD coding, and the full revenue cycle process • Familiarity with Electronic Health Record (EHR) systems and Microsoft Office applications • Understanding of Medicare, Medicaid, managed care, and third-party payer guidelines • Knowledge of governmental regulations and healthcare compliance requirements • Strong analytical and problem-solving skills • Ability to manage multiple tasks and competing deadlines accurately • Ability to develop reports and create professional presentations • Ability to maintain confidentiality of sensitive information • Ability to work independently and collaboratively across teams and departments • Ability to recognize coding issues and prevent untimely claim submission and denials • Ability to comply with HIPAA, Solaris Health Code of Conduct, and applicable laws and regulations

🏖️ Benefits

• Competitive pay • PTO • Holiday pay • Health insurance • Dental insurance • Vision insurance • Life insurance • Pet insurance • Health savings account • Paid sick time • Paid time off • Paid holidays • Profit sharing • Retirement plan • Personal development training • Cross training