Charge Review/CPC Coder

Medix is hiring for a large New York Hospital system looking for Remote Charge Review/CPC Coders! Please review this full job posting and apply if qualified and interested!

• The CPC certification through AAPC is required (Not CPC - A)
• Candidates must reside in the following states: New York, New jersey, Connecticut
• Candidates must pick up equipment in New York City or Westchester county

Pay: $25-33 per hour (Depending on experience)

Location: Remote

Schedule: M-F 8 to 5 (with some flexibility if needed)

Employment Type: 5 months contract to hire

Attire: Business Casual

Equipment: Provided

Required Criteria

• The CPC certification through AAPC (Not CPC - A)
• High School Diploma
• 2-3 years medical record experience, preferably in an acute care, computerized environment;
• 1-2 years demonstrated coding experience
• Demonstrated knowledge of ICD-10CM, HCPCS, and applicable DRG grouper coding schemes
• Proficient computer skills, including experience with clinical information systems for accessing health information in an electronic environment
• Good interpersonal and communication skills
• Ability to distinguish colors to identify medical record numbers.

Preferred Criteria

• College degree
• CCS or ART
• EPIC

Overview

The Charge Review/CPC Coder is tasked with ensuring that we remain in compliance with all applicable state and federal laws, regulations, rules, and policies of governmental authorities and payers.

• This individual will help prevent, detect, and resolve instances of conduct that does not conform to then policies or federal and state regulations.
• Under the direction of the coding and compliance supervisor, the individual will conduct and coordinate audits of physicians documentation in medical records to ensure compliance and review trends in third party denials.
• The coding and compliance specialist will work closely with billing supervisors, billing specialists, practice managers and others.
• He or she will report directly to the coding and compliance supervisor.
• Conducts and coordinates internal compliance audits and reviews documentation including coding audits, medical records, contracts, and other relevant information responds to incidents of suspected compliance violations.
• Under the direction of the coding and compliance supervisor, Initiates, maintains and revises policies and procedures to ensure compliance with state and federal coding standards.
• Verify, create and send claims to the appropriate payers.
• Works and resolves assigned claims.
• Communicates with providers for claim resolution as well as providing education with regard to documentation guidelines.
• Administers corrective action plans for resolution of problematic issues.
• Reviews and resolves claim issues via the practice management system work list.
• Reviews financial metrics for revenue enhancement opportunities.
• Assists with the development and delivery of compliance education and training to optimize productivity and efficiencies.
• Consistently works and completes assignments of moderate difficulty and complexity, while exercising a reasonable amount of independent judgment.
• Acts as a resource to practice managers, providers and other staff to accurately respond to questions pertaining to coding and compliance.
• Performs other special projects and duties as assigned.

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.