Remote: Full Time Facility Claim Edits & Denials Medical Coder

About IKS Health

IKS Health takes on the chores of healthcare, reducing administrative, clinical, and operational burdens so that staff can focus on their core purpose: delivering exceptional care. Combining pragmatic technology and dedicated experts, IKS enables stronger, financially sustainable enterprises. Our Care Enablement Platform delivers data-driven value and expertise across the care journey, and IKS is a partner for clinician enterprises looking to effectively scale, improve quality and achieve cost savings through forward-thinking solutions. Founded in 2006, IKS Health’s global workforce supports large health systems across the United States.

For more information, visit:  www.ikshealth.com

As an experienced coder, you will be responsible for providing coding and abstracting services for clients on outpatient, physician or emergency room medical records using ICD 10-CM, CPS and CPT coding systems. You will use established coding principles, software and your knowledge and experience to assign diagnostic and procedural codes after a thorough review of the medical record. As a coding leader, you will participate in industry forums as well as support coding education within the team.

Essential Job Responsibilities:

Reviews medical records to identify pertinent diagnoses and procedures relative to the patient's health care encounter. Selects the principal diagnosis and principal procedure, along with other diagnoses and procedures using UHDDS definition. 

 Ensures appropriate DRG assignment. Abstracts appropriate information from the medical record based on the guidelines provided by the client and after a thorough review of the medical record.

 Consistently meet productivity and quality performance requirements. Responsible for utilizing company applications to enter charts coded in real-time throughout the scheduled shift.

Solicits clarification from the physician regarding ambiguous or conflicting documentation in the medical record using guidelines provided by the client. 

Participate in team meetings and all training required by company staff or the client. May be asked to participate in training or shadowing of other coders. Flexibility in assignment over multiple clients to ensure meeting required classification hours.

Participate in Coding Roundtables through presentation of materials, articles and current issues related to coding and Health Information Management.

Maintains current knowledge of the information contained in the Coding Clinic, CPT Assistant, and the Official Guidelines for Coding and Reporting.

 Participates in education modules as assigned. Responsible for keeping coding credentials up to date and active. 

Maintains effective and professional communication skills. Contributes to a positive company image by exhibiting professionalism, adaptability and mutual respect. 

Additional duties as assigned

Credentials Required: CPC,COC,CIC,CCA,CCS,CCS-P,RHIT or RHIA

Experience:

Excellent verbal and written communication skills.

Must have a minimum of 3 years or more of related coding experience-  Facility Claims Edit/ Denial

Understands medical terminology, anatomy, physiology, surgical technology, pharmacology and disease processes. 

Extensive knowledge of ICD-10-CM and CPS and CPT coding principles and guidelines, reimbursement systems, federal, state and payor-specific regulations and policies pertaining to documentation, coding and billing.

Must pass coding proficiency test.

Knowledge / Skills:  

 Requires strong interpersonal communication skills, both verbal and written.

Requires a high level of coding accuracy and attention to detail

Excellent oral and written communication skills – must be detailed and articulate.

Strong knowledge of Google Suite   Google Doc, Sheets, is required

Working Conditions:  

Remote working environment; Extended periods of computer-based work.  

Physical Demands:   

 Prolonged computer screen usage, keyboarding.  Long periods of sitting commensurate with computer-based work and work-related phone calls

Compensation and Benefits:   The pay for this position is between $23hr$26hr.  Pay is based on several factors, including but not limited to current market conditions, location, education, work experience, certifications, etc.  AQuity Solutions offers a competitive benefits package including healthcare, 401 (k), and paid time off (all benefits are subject to eligibility requirements for full-time employees).  Aquity Solutions is an equal opportunity employer and does not discriminate based on race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.