This is a Fully Remote Job
About Our Client:
This organization operates within the healthcare industry, focusing on delivering care supported by technology to improve health outcomes. It addresses challenges in connecting individuals with appropriate care, pharmacy benefits, data, and resources. The program serves a large population, aiming to enhance health optimization on a broad scale.
About the Opportunity:
The MEDICAL CODER role is essential in ensuring accurate and timely coding of medical claims, which supports quality care delivery and proper documentation. By managing claim information and procedure codes across specialties, this position directly impacts the organization's ability to maintain high standards and facilitate efficient healthcare processes.
Responsibilities:
Analyze and code claim information accurately and promptly.
Provide written explanations to ensure quality data and timely reviews.
Complete assigned tasks to meet or exceed departmental benchmarks using current industry standards and technologies.
Maintain professional skills and align with organizational goals to ensure efficient, accurate, and ethical department function.
Manage and prioritize durable medical equipment (DME) claims for timely adjudication and accurate documentation.
Perform additional duties as assigned.
Requirements:
High school diploma.
Certification as a coder (CPC, COC, CCS, or equivalent) through AAPC and/or AHIMA; CPC-A considered.
At least six months of experience with professional fee billing, coding reimbursement, and third-party payer regulations.
Six months of knowledge in medical terminology.
Access to a quiet, secure home workspace to protect PHI.
Residence with access to a high-speed internet connection approved by the organization.
Preferred Qualifications:
Ability to work with individuals across organizational levels.
Six months knowledge of durable medical equipment coding.
Intermediate proficiency in MS Office applications.
Soft Skills:
Ability to work independently and collaboratively with good judgment and accountability.
Strong organizational, time management, multitasking, and prioritization skills.
Effective verbal and written communication skills.
Ability to perform under pressure in a fast-paced environment.
Pay Range and Compensation Package:
The pay range and compensation package for this role will be determined based on the candidate's experience, skills, and other relevant factors.
Benefits & Perks:
Paid time off with accrual starting from the first pay period plus eight paid holidays.
Medical, dental, vision insurance plans.
Life and AD&D insurance, short-term and long-term disability coverage.
401(k) savings plan and employee stock purchase plan.
Education reimbursement.
Employee discounts, assistance, and referral bonus programs.
Voluntary benefits including pet insurance, legal insurance, and long-term care insurance.
Equal Opportunity Statement:
Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.
Note:
TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.