Certified Coder

Job Title: Certified Coder
Department: Revenue Cycle Management
Reports To: VP of RCM
Location: Remote

Position Overview:
Covered Health is seeking an experienced and certified coder with extensive knowledge of eClinicalWorks (eCW) and at least one year of experience in OBGYN coding. This position is ideal for a detail-oriented professional who excels in accuracy, compliance, and efficiency. As a Certified Coder, you will play a vital role in ensuring the accuracy of coding for patient encounters, procedures, and services while maximizing reimbursements and supporting our commitment to quality healthcare.

Key Responsibilities:

• Coding and Compliance:
• Review and assign accurate codes for diagnoses, procedures, and services in eClinicalWorks, adhering to ICD-10, CPT, and HCPCS standards.
• Ensure coding complies with all legal regulations and company policies.
• OBGYN Coding Expertise:
• Apply specialized knowledge in OBGYN coding, ensuring accurate and comprehensive coding for women’s health services.
• Stay updated on the latest coding changes and industry practices related to OBGYN.
• Revenue Optimization:
• Identify and report potential revenue enhancements, ensuring the organization captures maximum allowable reimbursements.
• Support the Revenue Cycle Management team in minimizing claim denials and rejections through accurate and compliant coding practices.
• Documentation Review and Collaboration:
• Work closely with providers and clinical staff to ensure accurate and thorough documentation for proper coding.
• Provide feedback and education on coding and documentation best practices as needed.
• Quality Assurance and Audits:
• Conduct periodic audits of coded data and documentation for accuracy and compliance.
• Participate in continuous quality improvement initiatives to uphold coding and documentation standards.

Requirements:

• Certification: CPC, CCS, or other recognized medical coding certification.
• Experience: Minimum of 1 year of coding experience in OBGYN.
• Software Proficiency: Extensive experience with eClinicalWorks (eCW).
• Knowledge: Familiarity with ICD-10, CPT, and HCPCS coding standards and guidelines.
• Skills: Strong attention to detail, analytical skills, and ability to work independently.
• Communication: Excellent verbal and written communication skills for collaborating with clinical staff and providing coding feedback.