Coder II - Pro-Fee Pediatrics

AcclaraRemote, United States


Description

Hey there! We’re Acclara. 

As a remote-first workforce with team members in all 50 states, we’re a unique group of strategists, technologists, and service providers—all united in serving our partners to deliver the best care to their patients, helping build even healthier communities for us all to live and work in. 

We bring our one-of-a-kind selves to work each day, and we welcome (and want) you to do the same. Coffee connoisseurs, moms and dads, runners, animal lovers, adventurists—the list goes on—we all came to make a difference, and we stay because we’ve found a place where we don’t have to do it alone. 

Our team’s work is fueled by our CORE values of Commitment, Outcomes, Respect, and Empowerment. They’re the “how” behind what we do, guiding our actions as we aim to change the way technology and services come together. 

The Role 

Under the directions of the Coding Services Supervisor, this position will be responsible for CPT and ICD-10 coding and ensuring accuracy and maximum reimbursement.              

What You’ll Do 

  • Review and evaluate patient medical records to accurately assign diagnosis and procedure codes, and modifiers with a focus on professional/hospital/facility coding
  • Analyzes documentation to identify any documentation deficiencies which may impact coding and provides resources that support coding guidance.
  • Contacts clients and/or submits compliant queries, as appropriate, when documentation in the medical record is inadequate, ambiguous, or unclear for coding purposes
  • Enter coded charges into various host systems for claim billing purposes 
  • Performs coding functions in the clinic and/or hospital setting
  • Monitors regulatory and payer changes as they apply to diagnostic and procedure coding 
  • Researches and resolves coding related system edits, payer rejections and insurance denials and/or provides resources to substantiate coding related payor appeals
  • Identify system edits, payer rejection and insurance denial trends for client policy and process improvement initiatives
  • Maintains knowledge of the current changes of coding practices by continuing education and reading resource material 
  • Must maintain quality and production standards as set forth by the coding department
  • Other duties as assigned 

What We’re Looking For 

  • High school diploma or equivalent           
  • 2+ years coding experience required in clinic and/or professional coding        
  • Nationally recognized coding credential including, but not limited to CPC, COC, CCS,   CCS-P, RHIA or RHIT through AHIMA/AAPC. For Cardiology: CIRCC certification a plus        
  • Understanding of ICD-10, CPT (including E/M leveling), HCPCS, modifiers, medical terminology, and anatomy & physiology          
  • Possess strong written and verbal communication skills to communicate effectively with stakeholders at all levels of the organization          
  • Ability to work under general supervision           
  • Ability to work in a fast-paced department and handle multiple tasks, work with interruptions, and deal effectively with confidential information          
  • Possess excellent telephone etiquette, presentation skills and problem resolution skills           
  • Computer skills including Microsoft Office Suite           
  • Must be highly organized and detail-oriented           
  • Understands fully the requirements to meet HIPPA regulations.  Must treat all patient information and data with complete confidentiality and take all precautions to secure this information          
  • Cooperates fully in all risk management and compliance activities and investigations for QM purposes. 
     

How We Take Care of Our Team Members 

  • Remote-first workplace, with opportunities to work on-site in certain locations
  • Comprehensive medical, dental, and vision coverage
  • Parental leave
  • 401K with company match
  • Company-paid life insurance, short-term disability, and long-term disability
  • Paid time off and holidays

Pay Range: $16.33 - $35.00 

This compensation range is a reasonable estimate that extends from the lowest to the highest pay Acclara in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. Acclara may ultimately pay more or less than the posted range as permitted by law. 

Diversity, Equity, and Inclusion Matter 

At Acclara, you’re invited to bring more of yourself to work—not less. Your background, your culture, and your personal experiences are all important pieces of the authentic you, and we honor that. Connection is created when we show up. 

Acclara, an R1 company, is dedicated to the fundamentals of equal employment opportunity. Acclara’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, Acclara is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories. 

If you need reasonable accommodation due to a disability for any part of the interview process, please contact [email protected]. 

Visa Sponsorship is not available at this time. 

CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights: California Consent