Medical Coder

Overview

Women’s Health Connecticut is seeking a full-time Certified Professional Coder (CPC) (Remote/Hybrid)

Position
:
Certified Professional Coder (CPC)

Location
:
Women’s Health Connecticut

Weekly Schedule
:
Monday
- Friday

Working arrangement
:
Remote or Hybrid, 2-3 days per week in office (based on geographical location)

• Receive and review charge entry data from all assigned practice locations
• Accurately and efficiently enter charges and adjustments
• Apply patient payments in Practice Management system
• Keep current on informational changes in billing procedures
• Reconcile monthly charges to ensure accuracy
• Resolve missing charges and worklists
• Review operative records, office notes, radiology and pathology reports assuring the correct diagnostic and procedural codes are assigned using the coding systems of ICD-10, CPT, and HCPCS
• Review patient medical records to ensure that any requested coding change(s) is supported by medical record documentation
• Contact payers to appeal denials, research policies, and verify benefits
• Research denial trends and identify resolution
• Identify and suggest improvements to rules engine for clean claim submission
• Communicate with practice staff and providers on coding related items found through charge entry or documentation review
• Collaborate with team members and leadership on opportunities for process improvement, and troubleshoot issues
• Follow internal protocols regarding departmental communications
• Participate in initiative-taking team efforts to achieve departmental and company goals
• Adhere to corporate compliance program guidelines and follow all safety policies, practices, and procedures
• Maintain and respect the confidentiality of PHI (Protected Health Information) in accordance with insurance collection guidelines, corporate policy, and all HIPAA (Health Insurance Portability and Accountability Act) mandates. Candidate will have access to PHI based on the HIPAA minimum necessary standards
• Other duties as assigned by management

• High School Diploma or GED
• Must be a Certified Professional Coder through the American Academy of Professional Coding and maintain certification.
• Experience using CPT, HCPCS and ICD Codes
• A minimum of one (1) year of prior medical coding experience
• Experience with OB/GYN coding
• Experience with Pathology coding is preferred

Qualified candidates are encouraged to apply to learn more about all the position has to offer!

The job responsibilities provided are intended to be a summary of the job duties. In no instance should the duties, responsibilities, and requirements included in a job description constitute as being all-inclusive. The Company and authorized management personnel reserve the right to review, change, add and/or delete duties, responsibilities, and requirements on a job description as necessary.