Coder, Edits/ Denials

About the Role

The ideal candidate for this role will have a strong background in medical coding, excellent analytical skills, and attention to detail. You will be working closely with a team of healthcare professionals, including physicians, nurses, and other coders, to ensure that medical records are accurate and complete.

What You Will Do

• Review medical records to determine appropriate billing codes and necessary documentation
• Perform advanced coding and appeal activities, including investigating payer issues and completing charge corrections
• Create letters to substantiate the validity of claims
• Meet with facility liaisons to review documentation and resolve coding issues
• Investigate and problem-solve reimbursement issues in collaboration with other coding staff and faculty
• Work directly with facility liaisons or other clinical staff as needed to provide documentation feedback and develop appeals
• Research payer policies and processes
• Review clinical documentation in the medical record to identify all pertinent facts necessary to select comprehensive diagnoses and procedures
• Work assigned work queues and tasks, and review remittance advice for rejections and accuracy of payment amounts as needed
• Identify invoices or claims that have been rejected per billing edits/criteria

What We Are Looking For

• Knowledge of ICD-10 and CPT coding
• Experience working with AR teams to resolve issues
• Ability to pass a coding assessment
• Proficiency in Microsoft Office, including Outlook, Excel, and Teams
• Excellent communication and analytical skills
• Ability to multi-task and meet productivity standards
• Experience working in a remote environment
• CCS, AHIMA, CCS-P, CPC, AAPC, CPC-A, or AAPC credentials
• Three or more years of coding experience

Nice to Have

• Experience with electronic health records (EHRs)
• Knowledge of HIPAA regulations and guidelines
• Certification in medical billing and coding

Benefits and Perks

• Competitive salary
• Comprehensive benefits package, including health, dental, and vision insurance
• 401(k) retirement plan
• Paid time off and holidays
• Remote work environment with flexible scheduling
• Opportunities for professional development and growth
• Access to cutting-edge technology and software
• Collaborative and dynamic work environment

• Tip: Make sure to highlight your coding certifications and experience in your resume and cover letter.
• Be prepared to provide specific examples of your coding experience and skills during the interview process.
• Showcase your knowledge of ICD-10 and CPT coding, as well as your ability to work with AR teams to resolve issues.
• Emphasize your excellent communication and analytical skills, as well as your ability to multi-task and meet productivity standards.
• Consider including a portfolio of your work, such as examples of coding projects or appeals you have worked on, to demonstrate your skills and expertise.
• Be prepared to discuss your experience working in a remote environment and your ability to work independently with minimal supervision.
• Research QHR and their mission, values, and culture to show your enthusiasm for the company and the role.