Medical Coder

Job Title: Medical Coder
Location: Flint, MI 48532 (Remote)
Shift: Between 8:30 AM-6:00 PM Monday - Friday
Shift: 5*8H 40 hours/week
Duration: 13 weeks (Possibility of extension)

Job Description:

Essential Functions and Responsibilities:
1. Interprets business rules, Federal and State guidelines, including but not limited to outpatient coding to create rules for processing within systems to ensure requirements are met.
2. Responsible for auditing medical records against submitted claims to verify accuracy of coding and identify coding errors.
3. Analyses requirements, specifications, business processes, provider contracts and provides recommendations for system configuration.
4. Manages and oversees all changes that impact claims configuration to systems, including updating business processes and documentation, education to impacted departments, and coordinating changes.
5. Continually monitors legislation for preventive guidelines and coverage, maps HCPCS, CPT, andICD-10 coding to coverage guidelines and ensures system updates are timely and accurate to standards and publications.
6. Works collaboratively with appropriate departments such as system configuration, compliance, legal, medical management, etc.10.

Submission requirements: Certified Medical Coder (CPC, RHIT or RHIA). Two (2) years’ experience and knowledge of HMO, PPO, TPA, PHO and Managed Care functions. Two (2) years’ experience in analytic role utilizing systems and data.

Code NIT01

Job Type: Contract

Pay: $24.00 - $26.34 per hour

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Education:

• Associate (Required)

License/Certification:

• certified medical coder (Required)

Work Location: Remote

Salary : $24 - $26