"Certified Coder (Remote) - Neurology Appeals"

Position Summary

Performs advanced coding and appeal activities; investigates payer issues; responsible for timely filing of appeals to insurance companies; handles charge corrections.

Job Description

Primary Duties & Responsibilities:

• Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment.
• Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-10 code.
• Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up.
• Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required.
• Assists with efforts to increase physician awareness of documentation requirements.
• Prepares case reports and initiates follow-up for billing process.
• Performs other duties as assigned.

Working Conditions:

Job Location/Working Conditions
Normal office environment.

Physical Effort
Typically sitting at desk or table.

Equipment
Office equipment.

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.

Required Qualifications

Education:

A diploma, certification or degree is not required.

Certifications/Professional Licenses:

The list below may include all acceptable certifications, professional licenses and issuers. More than one credential, certification or professional license may be required depending on the role. Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA), Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physican based (CCS-P) - American Health Information Management Association (AHIMA), Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital (CPC-H) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital Apprentice (CPC-H-A) - American Academy of Professional Coders (AAPC), Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA)

Work Experience:

No specific work experience is required for this position.

Skills:

Not Applicable

Driver's License:

A driver's license is not required for this position.

More About This Job

Required Qualifications:

• Must have one of the following coding credentials: AHIMA (CCA, CCS, or CCS-P); AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or one of the AAPC specialty-specific coding credentials (the specialty-specific credential is only valid for that employee’s department).

Preferred Qualifications:

• Previous coding experience or experience equivalent to an associate’s degree in a related field.
• Knowledge of ICD-10 and CPT coding.

Preferred Qualifications

Education:

Associate degree - Medical Coding & Billing

Certifications/Professional Licenses:

No additional certification/professional licenses unless stated elsewhere in the job posting.

Work Experience:

No additional work experience unless stated elsewhere in the job posting.

Skills:

Computer Systems, ICD-10 Procedure Coding System, Medical Billing and Coding, Medical Terminology

Grade

C10-H

Salary Range

$25.30 - $37.94 / Hourly The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.