Certified Medical Coder

Job Title: Certified Medical Coder

Hourly Rate: TBD

Start Date: ASAP

Full Time

Company Overview:

We are a company built on trust and loyalty. MBVA 24/7 started in 2018 and has continuously fostered skilled and talented Virtual Assistants for many clients. Our team of virtual assistants provides services all over the US, and we sure won’t be stopping there! Our main office is located in Arizona and Manila. We have a legion of virtual assistants all over the Philippines who work directly with our clients.

Our clientele ranges from doctor’s offices to publishing companies. We make sure that our Virtual Assistants get all the training they need for a seamless partnership with our clients. MBVA 24/7 is committed to providing only the best to our partners.

We are here for you. Our purpose is to help you in succeeding in the medical and business virtual world and we won’t stop until you get there!

Position Overview:

A certified Medical Coder is responsible for reviewing and analyzing medical records to accurately assign appropriate diagnostic codes, procedure codes, and other relevant information for healthcare services provided to patients. Their primary role is to ensure that medical documentation is coded correctly according to established guidelines, such as those outlined by the International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) code sets.

Job Responsibilities:

• Analyze and abstract medical information from patient records before and after patient encounters for both physician/NP visits and home health start-of-care visits.
• Accurately code diagnostic and procedural information in compliance with ICD-10, Home Health PDGM, CPT-4, HCPCS, MS-DRGs, APCs, and POAs, following national coding guidelines and reimbursement requirements.
• Document essential patient information in the medical record, including medication history, family and social history, medical history, demographics, active diagnoses, immunization status, and preventive care screens.
• Consult with medical providers to identify potential missing HCC diagnoses, clarify documentation, and ensure accurate code assignment supporting medical necessity and patient risk adjustment.
• Review claims data to verify accurate coding and billing for all services and procedures.
• Collaborate with healthcare professionals to improve documentation, coding accuracy, and compliance.
• Stay current with changes in coding regulations and guidelines, providing education and training to colleagues as needed.
• Participate in Quality Assurance/Quality Improvement initiatives and support organizational goals and objectives.
• Assist the Clinical Director in developing and achieving key performance indicators related to coding accuracy and compliance.
• Develop and maintain effective communication and collaboration with clinical staff, insurance plans, hospital systems, and other healthcare professionals.
• Participate in ongoing education and professional development, attending staff meetings and functioning as a clinical resource.
• Demonstrate excellence in customer service, professionalism, and adaptability in order to achieve performance metrics and targets.
• Maintain confidentiality and safeguard patient information.
• Accept responsibility for punctuality and attendance, fulfilling job requirements as needed.
• Report any problems related to patient care or employee well-being.
• Assist with billing and credentialing tasks as needed.
• Perform any job role allowed by licensure when necessary.

Job Qualifications:

• Must have a background in any medical field
• Proficient in the English Language both written and verbal
• Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCS-P) from AAPC or AHIMA is preferred.
• At least 2 years of experience in medical coding and billing, with a focus on physician coding and home health coding.
• Knowledge of medical terminology, anatomy, and physiology, as well as coding systems and guidelines, such as ICD-10, CPT-4, and HCPCS.
• Strong analytical skills, attention to detail, and ability to interpret complex medical documentation.
• Excellent communication skills, with the ability to work collaboratively with other healthcare I kinda just saw professionals.
• Proficiency with coding software and tools, as well as electronic health record (EHR) systems.
• Knowledge of regulatory requirements, reimbursement policies, and compliance standards.

Hardware and Software Requirements:

Hardware:

• AMD Ryzen 3 3200G APU or Intel Core i5 (at least 7th gen) Intel CPU
• 16GB DDR4 RAM
• 120 – 480gb SSD
• Jabra Biz 1100 / Logitech H390 or similar Noise-canceling Headset
• 1 – 2 Monitors (at least 21in)
• 1080p HD Webcam
• Internet Speed: 50mbps (Fiber/DSL) LTE not accepted

Software:

• Genuine Windows 10 Licensed Computer
• Microsoft Office Suite