Job Description
Join Apex Health Systems, a forward-thinking healthcare organization dedicated to delivering exceptional patient care and operational excellence. We are currently seeking a highly skilled and detail-oriented Senior Medical Coder to join our Revenue Cycle Management team. This is a unique opportunity to work in a dynamic environment where your expertise in medical coding directly influences financial health and compliance.
In this role, you will be responsible for translating healthcare diagnoses, procedures, medical services, and equipment into universal medical alphanumeric codes. We pride ourselves on a culture of continuous improvement and offer a comprehensive benefits package including health, dental, vision, and a robust retirement plan.
Why Join Us?
- Competitive salary and performance bonuses.
- Flexible remote and hybrid work options.
- Professional development and certification reimbursement.
- State-of-the-art EHR training and support.
Responsibilities
- Accurate Coding: Assign appropriate ICD-10-CM and CPT-4 codes to patient medical records with a focus on maximizing reimbursement while ensuring compliance with CMS and AMA guidelines.
- Documentation Review: Analyze clinical documentation to ensure it supports the assigned codes and meets regulatory requirements for medical necessity.
- Denial Management: Investigate and resolve denied claims by identifying root causes and implementing corrective action plans.
- Physician Collaboration: Partner with physicians and clinical staff to clarify documentation queries and provide education on coding standards.
- Auditing: Conduct regular internal audits of coding practices to ensure accuracy and adherence to internal quality assurance protocols.
- Compliance: Maintain strict adherence to HIPAA regulations and internal compliance policies regarding patient data privacy.
- Process Improvement: Identify trends in coding errors and propose system or process improvements to enhance revenue cycle efficiency.
Qualifications
- Education: Associate’s degree in Health Information Technology, Health Administration, or related field required; Bachelor’s degree preferred.
- Certification: RHIT, RHIA, CPC, CCS, or CCS-P certification is mandatory.
- Experience: Minimum of 5 years of professional medical coding experience in a hospital or multi-specialty clinic setting.
- Technical Skills: Proficiency with EHR systems (Epic, Cerner, or Athenahealth) and medical billing software.
- Knowledge: In-depth understanding of CPT, ICD-10, HCPCS Level II, and anatomy/physiology.
- Soft Skills: Excellent analytical skills, attention to detail, and strong communication abilities.
- Regulatory: Strong working knowledge of Medicare/Medicaid billing rules and regulations.