Job Description

*** Must be local to the Houston area in order to pick up equipment***

Job Overview:

We are currently hiring for an experienced Medical Coder for a healthcare management company. This position offers the opportunity to start as a coder with the potential to transition into an auditing role. The ideal candidate will have a strong background in coding, clinical documentation, and an attention to detail. Additionally, this coder should have experience within at least one of the following specialties: Pain Management, ER, Injections, or Infusions . The role will primarily involve manual coding and documentation review, working with physicians, management, and other stakeholders to ensure accurate medical coding and proper claim submissions.

Key Responsibilities:

• Code and abstract clinical data for inpatient/outpatient encounters using ICD-10, CPT, and HCPCS codes.
• Review and resolve discrepancies in clinical documentation and charge capture.
• Perform medical necessity checks using the CMS website for Medicare tests.
• Follow up on accounts on hold due to billing or documentation issues.
• Scrub claims to ensure coding accuracy and compliance with guidelines.
• Address coding-related denials and rejections.
• Maintain patient confidentiality and ensure compliance with security protocols.
• Code for specialties including Pain Management, ER, Injections, and Infusions.
• Audit documentation and codes for accuracy and compliance.

Requirements:

Must Have Skills/Qualifications:

• Experience: A minimum of 5 years of coding experience , including inpatient/facility coding.
• Certifications: Certified as either a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) .
• Specialty Experience: Strong background in coding for Pain Management, ER, Injections/Infusions .
• Technical Skills: Proficiency with ICD-10, CPT, and HCPCS coding . Ability to use personal computers in a Windows environment with basic word processing and data entry.
• Attention to Detail: Must be highly detail-oriented with the ability to identify and resolve discrepancies in coding and documentation.

Nice to Have Skills:

• Experience with hospital coding and facility coding.
• Familiarity with PCS , observation codes , drug codes , and GoRev EMR .

Schedule/Shift:

• Work Hours: Monday to Friday, with flexible start times between 7:00 AM to 8:00 AM .
• Onsite Onboarding: The first day of onboarding will be onsite, and all subsequent days will be remote.

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