Revenue Cycle Coder CPC - Remote

Proliance Surgeons is one of the largest surgical practices in the country, with over 450 providers including over 200 board-certified physicians providing treatment at more than 100 care centers in Washington State. 

At Proliance, our patients come from all walks of life and so do we. We hire, develop and engage great people from a wide variety of backgrounds and encourage growth and development to make our organization a great place to work.  We draw on the differences in who we are, what we’ve experienced, and how we think to create Exceptional Outcomes, Personally Delivered. 

We are proud to offer a comprehensive and competitive benefit and pay package including health coverage, 401k with match and profit share, PTO and more! Check out our main career site for more details at www.proliancesurgeons.com/careers

Be Part of Who We Are!

Hourly Range $23.30 - $39.61 

Key Duties & Responsibilities

The key duties and responsibilities of the Revenue Cycle Coder include, but are not limited to:

• Reviews/audits and interprets medical record documentation to identify pertinent diagnosis/procedure and apply correct ICD10, CPT-4, and HCPC’s codes in accordance with government and insurance regulations.
• Demonstrates appropriate utilization of coding software and coding reference material.
• Follow up with providers on any documentation that is insufficient, missing, or unclear.
• Assists providers with questions regarding coding and documentation guidelines. Provides ongoing feedback based on observations from coding documentation and identifies opportunities for education and communicates trends to leaders.
• Keeps up to date on carrier policies/guidelines to ensure all coded services meet appropriate Medicare, National Correct Coding Initiative (NCCI) or Payer-specific guidelines.
• Reviews and resolves suspended charges due to claim edits or payor rejections related to coding.
• Reviews, corrects and appeals coding-related denials trends and shares with leadership, and team members to facilitate root cause analysis and continuous process improvement.
• Corrects and/or appeals denied claims due to coding errors
• Other duties as assigned

Experience, Skills and Abilities

• Minimum 3 years coding/medical billing experience
• Professional coder certification with credentialing from AHIMA and/or AAPC, must be maintained annually
• ICD10 certified and/or extensive work experience
• A strong understanding of physiology, medical terms, and anatomy
• Strict attention to detail
• Excellent written and verbal communication skills
• Self-motivated team player able to multi-task and prioritize
• Excellent organization and interpersonal communication skills
• Strong computer skills
• Strong computer skills/experience with Microsoft Excel, Outlook, and Adobe
• Working experience navigating EHR’s to abstract documentation

Education and Experience

• High School diploma
• 2-year associate degree preferred or a combination of billing certification
• 4+ years’ experience in professional medical billing.

Work Environment/Physical Demands

The work environment/physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Work may be performed in an office and clinical environment.  Requires corrected vision and hearing to normal range.  While performing the duties of this job, the associate is regularly required to talk or hear.  The associate is required to sit for long periods of time, stand and walk, bend and stretch.  Use of telephone and computer is required.  Manual dexterity required for use of computer keyboard. Occasionally lifts and carries items weighing up to 40 pounds. May requires working under stressful conditions or working irregular hours.

This description is intended to encompass essential job functions, the general supplemental functions and the essential requirements for the performance of this job.  It is not an exhaustive list of all duties, responsibilities and requirements of a person.  Other functions may be assigned and leadership retains the right to add or change the duties at any time.