Explore 3 certified coder jobs from 2 hiring companies in Wathena, KS, US. Filter by remote, salary, experience, and company, then open any listing to apply.

certified-coder

Certified Coder

Saint Joseph

Atchison

Kansas City

Leavenworth

Gladstone

Savannah

Liberty

Lansing

Maryville

Smithville

Country Club Village

Cameron

Excelsior Springs

Kearney

Platte City

Bonner Springs

Parkville

Basehor

Certified Coder Jobs

Amberwell Health

Saint Luke's Health System

Remote

Onsite

<h1>Job Description​</h1>The Patient Account Representative Coder will be responsible for reviewing and coding from the medical record, already billed, or suggested from provider or computer generated applications for straight-forward to complex coding, and any account receivable activities for the physician clinics within Saint Luke&#39;s Health System.  Activities include, but are not limited to, coding, charging, troubleshooting charge related issues, responding to inbound and outbound billing calls from patients, resolving payment credits, identifying and correcting medical claim errors that may prevent payment and identifying, correcting, and resubmitting medical claims denied by insurance companies.  Resolving claim edits, working denials and appeals.  Evaluation and coding of ICD, CPT, HCPCS.  All coding initiatives, NCCI edits, incidentals/inclusive, and bundling rules, etc.   Demonstrate competency for invalid diagnosis, modifiers, coding related issues, and be able to have moderate decision making in following coding concepts.  This job is 24 hours a week, Monday-Friday, flex hours 6am-9am then work scheduled shift. CPC or CCS required. Percentage of time spent on job duties above will vary dependent on the focus area of team assigned.Charging • Responsible for the first review of designated professional billing charges for accuracy • Review and assign charging codes for accuracy • Responsible for processing CPT and ICD10 billing transaction • Enter and verify the appropriate demographic information, insurance, charges and comments into the computerized billing system • Maintain log of charge postings • Coordinate with billing, coding and revenue integrity teams to resolve billing inconsistencies • Responds to inquiries from provider offices and various internal departments in a timely and accurate, professional manner • Work assigned work queues within in a timely manner • Monitor and respond to questions and requests sent to team shared email account and work with other teams as needed to resolve issues Payments • Responsible for EDI transmissions,  electronic and manual payment posting • Resolve electronic remittance errors • Responsible for recording daily bank deposits on entity batch logs • Balance payment batches posted in Epic to cash deposits and resolve variance • Resolve payment posting errors • Responsible for credit resolution of unidentified payments by contacting payors and refunding, when appropriate • Research missing checks, payments, and/or EOBs by contacting payors • Responsible for contacting payors attempting to pay by virtual credit card Credits • Responsible for reviewing patient/guarantor accounts and investigate credit balances (includes reviewing overpayments from insurance companies and patients) • Investigate Undistributed payments in Epic system to determine if should be re-distributed or refunded • Identify trends causing credits and escalate to other team members for resolution • Work assigned work queues within Epic timely Customer Service • Responsible for answering inbound patient calls • Answer patient emails in Electronic Medical Record system. • Making outbound collection calls to patients to obtain information needed to collect payment. • Straightforward coding (i.e. Review patient charts for billing implications or referrals) • Provide price estimates for patients. • Process credit card payments while complying with the Credit Card Handling policy. • Establish payment plans with patients. • Identify patients needing financial assistance. Obtain financial information and review to determine if documentation is needed. Proper, confidential handling of supporting financial documentation. • Research and troubleshoot patient account payment issues. • Serve as liaison between patient and other departments as needed. • Process incoming mail and faxes. • Meet department productivity and quality metric. • Process accounts within a work queue in the Electronic Medical Record system and take action as appropriate • This position is responsible for identifying opportunities and reporting trends to improve patient satisfaction and workflow efficiencies by identifying reasons for patient calls that could have been prevented by education up stream in the process or practice management programming solutions.  Examples of this would be educating patients on financial policies, financial expectations of services rendered, correct coding, explanation of coverage, collecting payments when scheduling, system enhancements to identify the correct insurance at registration, correct payment posting, medical necessity warnings.gs. Claim Edits • Responsible for researching patient billing claims to identify and correct coding/claim errors • Responsible for researching patient insurance coverage to identify and resubmit claims to fix coverage denials. • Research and outline documentation needed for respective payor organizations so that claims are processed correctly • Familiarity with NCCI edits, incidentals/inclusive, and bundling rules, etc. • Identify problem trends • Communicate with payors for resolution to complications with claims • Responsible for 277 EDI transactions/rejections • Working with EDI transactions • Payment posting corrections/adjustments and ability to distribute payments • Correct/enter charges • Work with multiple teams/departments to resolve issues • Payment plan or financial assistance coordination Insurance Denials and Follow-Up • Responsible for researching, identifying errors, and correcting claims denied by insurance companies. • Must be able to asses claim to determine when appropriate to make charge adjustments, void a charge, or escalate to the team lead and/or another medical billing team. • Responsible for writing appeal letters to insurance companies • Responsible for following up with insurance companies for no response claims. • Responsible for working with patient calls escalated from the Customer Service team regarding involving billing code issues. • Research refund request from payor organizations • Responsible for preliminary audit of billing code errors before claim submitted to the Coding team. • Responsible for routing complex claim denial to team lead and/or the appropriate medical billing team. • Responsible for identifying issues which can be resolved by programing software to prevent denials. • Responsible for becoming a subject matter expert on the payor policies. • Responsible for communicating and resolving problems with the  provider representatives • Responsible for simple level coding, including diagnosis review, modifier applications, some CPT cod changes following process documents and payor policies<h1>Job Requirements</h1>Applicable Experience:1 yearCert Professional Coder - American Academy of Professional Coders (AAPC)None<h1>Job Details</h1>Part TimeDay (United States of America)The best place to get care. The best place to give care. Saint Luke’s 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke’s means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.Join the Kansas City region&#39;s premiere provider of health services. Equal Opportunity Employer.

Patient Accounts Representative and Certified Coder - Part Time

Patient Accounts Representative and Certified Coder

Part-time Patient Accounts Representative and Certified Coder with CPC/CCS, 1 year experience in healthcare billing and coding.

BASIC FUNCTIONS: 

Reviews patient records and assigns accurate ICD-10 CM &amp; PCS; CPT &amp; HCPCS codes for each diagnosis and procedure on the accounts assigned to coder using official coding principles and guidelines. Applies knowledge of medical terminology, disease processes, and pharmacology. Demonstrates productivity (quantity) and quality coding skills. Performs charge verification and adding charges as needed. 

SHIFT DAYS/HOURS: 

Remote Position 

PRN: No regular schedule, work as needed.

Hours and Days are Subject to change based on business needs.

ESSENTIAL FUNCTIONS:

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				<li style="margin-bottom:11px">Review and abstract patient medical records. Report diagnoses, treatments, as well as surgical and non-surgical procedures for CAH facility medical services.</li>
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				<li style="margin-bottom:11px; margin-left:8px">Perform coding duties of discharged patient medical records using AHA Coding Clinic for ICD-10-CM and ICD-10-PCS, AHA Coding Clinic for HCPCS, CMS ICD-10-CM Official Guidelines for Coding and Reporting, AMA CPT Assistant, and ACEP ED Facility Level Coding Guidelines.</li>
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				<li style="margin-bottom:11px; margin-left:8px">Correctly assigns ICD-10-CM/PCS and CPT/HCPCS codes creating APG group assignments.</li>
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				<li style="margin-bottom:11px; margin-left:8px">Abide by the standards of American Health Information Management Association (AHIMA) Standards of Ethical Coding. Concerns involving compliance issues are forwarded to the Manager of HIM for action.</li>
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				<li style="margin-bottom:11px; margin-left:8px">Abide by the standards of American Health Information Management Association (AHIMA) Code of Ethics. Concerns involving compliance issues are forwarded to the Manager of HIM for action.</li>
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				<li style="margin-bottom:11px; margin-left:8px">Apply accurate charges.&nbsp; Maintains productivity and quality of work.&nbsp;&nbsp;</li>
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				<li style="margin-bottom:11px; margin-left:8px">Queries physicians when documentation in the record is inadequate, ambiguous, or unclear for coding purposes.</li>
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				<li style="margin-bottom:11px; margin-left:8px">Report unusual findings to the supervisor when coding.</li>
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				<li style="margin-bottom:11px; margin-left:8px">Ensure code assignment is supported by provider documentation.</li>
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				<li style="margin-bottom:11px; margin-left:8px">Maintain professional competency and knowledge of third- party payer and QIO regulations.</li>
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				<li style="margin-bottom:11px; margin-left:8px">Compliant with HIPAA, demonstrates discretion and integrity.</li>
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				<li style="margin-bottom:11px; margin-left:8px">Ability to work with minimal supervision.</li>
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				<li style="margin-bottom:11px; margin-left:8px">Other duties as assigned.</li>
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HIM Coder Certified, PRN, Remote

HIM Coder

2+ years medical coding experience; AHIMA CCS/CCS-P/RHIT/RHIA preferred; high school diploma with AHIMA credentials; ICD-10-CM/PCS and CPT/HCPCS knowledge.

Two years min experience in medical coding; AHIMA CCS/CCS-P/RHIT/RHIA or CPC; high school diploma with AHIMA credentialing requirements.

Certified Coder Jobs in Wathena, KS, US | HiringCafe: every job on earth

Certified Coder Jobs in Wathena, KS, US

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