2 дня назад
Telehealth Medical Coder
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Telehealth Medical Coder (ICD-10-CM/CPT/HCPCS): Reviewing clinical documentation and coding Transitional Care Management and related telehealth services for accurate, compliant claim submission with an accent on CMS requirements, medical necessity, and documentation quality. Focus on conducting coding audits, resolving denials, clarifying deficiencies with providers, and improving reimbursement outcomes.
Location: Permanent work from home; Monday–Friday, 8:00 AM–5:00 PM Central Time with a 1-hour unpaid break. The posting also lists PST as the work schedule timezone.
Company
provides staffing and placement services, matching professionals with client organizations.
What you will do
- Review patient records, provider documentation, and telehealth encounter notes for completeness and coding accuracy.
- Assign ICD-10-CM, CPT, and HCPCS Level II codes for Transitional Care Management and related telehealth services.
- Verify medical necessity and compliance with CMS, Medicare, Medicaid, commercial payer, and HIPAA requirements.
- Submit clean claims, resolve coding-related denials and payer inquiries, and identify documentation deficiencies.
- Conduct coding audits, support quality improvement initiatives, and provide coding education to clinical staff.
- Collaborate with providers, billing, and revenue cycle teams to improve reimbursement and reduce claim rejections.
Requirements
- CPC, CCS, COC, or equivalent medical coding certification required.
- High school diploma or GED required; an associate degree in Health Information Management or a related field is preferred.
- Experience in medical coding, preferably in primary care, care management, or telehealth.
- Strong knowledge of ICD-10-CM, CPT, HCPCS Level II, medical terminology, anatomy, and physiology.
- Understanding of Medicare, Medicaid, commercial payer regulations, CMS documentation requirements, HIPAA, and OIG compliance.
- Experience with EHR, practice management software, Microsoft Office, and healthcare applications, with strong analytical, organizational, and communication skills.
Nice to have
- Experience coding Transitional Care Management.
- Knowledge of Chronic Care Management, Remote Patient Monitoring, Principal Care Management, and telehealth billing.
- Familiarity with value-based care models, quality reporting programs, coding audits, and compliance reviews.
Culture & Benefits
- Permanent work-from-home arrangement.
- Independent contractor engagement.
- Health insurance coverage for eligible locations.
- Productivity and coding accuracy standards with ongoing education and active certification maintenance.
Hiring process
- Complete the application, assessment questions, technical check, and voice recording.
- Hourly pay is determined based on performance during the application process.
- Applications with all requirements fulfilled receive priority review.
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