Professional Coder- Full time, Days, REMOTE

As the Professional Coder/Revenue Cycle Coding Analyst, this role will be responsible for reviewing clinical documentation, assigning appropriate diagnosis, procedure, and in some cases level of service codes to resolve claim edits and denials. Ensures clinical documentation supports the charges posted, following the American Medical Association (AMA), Medicare, and Commercial coding guidelines on claims. Communicates trends and issues to leadership for investigation and resolution. Required Qualifications: Certificate in Medical Coding Completed coursework in Anatomy & Physiology, Medical Terminology, ICD-10 and CPT coding, Healthcare Compliance & Billing Obtain coding credential through AAPC or AHIMA (American Health Information Management Association) within 1 year of hire date and maintain credential. Preferred Qualifications: Strong PC (Primary Care) skills, including word processing and spreadsheets. Must be able to learn and utilize custom systems and applications. Problem-solving skills, analytical abilities, excellent interpersonal, verbal, and written communication skills Reviews claims assigned by the Revenue Cycle Coding Analyst lead. Analyzes coding edits, reviews timeline notes, reviews clinical documentation, including provider orders, progress notes, surgical and test results thoroughly to interpret and ensure documentation supports the posted charges. Consults with lead to determine appropriate action needed to resolve coding edits/issues and ensure clean claim submission. Performs coding functions, including Current Procedure Terminology (CPT), International Classification of Diseases, tenth revision, Clinical Modification (ICD-10-CM), documentation review, and claim denial review. Applies appropriate modifiers. Ensures charges/coding are in alignment with the American Medical Association (AMA), Medicare, and Commercial coding guidelines on all claims reviewed. Credits /updates charges and coding as needed. Maintains Productivity requirements Other Functions: Maintains strict confidentiality of all information including patient data, Healthcare information, financial/operational and employee/human resources. Performs other duties as assigned. Apply tot his job