HCC Coder - Medical Records Coding

The ideal candidate for this role will have experience in Healthcare Accounts Receivable (AR) and collections, as well as proficiency in Epic. This individual will be responsible for performing advanced coding and appeals activities, investigating payer issues, ensuring the timely filing of appeals to insurance companies, and managing charge corrections. The successful candidate will demonstrate strong analytical skills, attention to detail, and the ability to resolve complex reimbursement issues effectively.

Responsible for appealing claims denied by third-party payers. Creates appropriate letters and compiles documentation to substantiate the validity of claims.

Investigates and problem solves reimbursement issues in collaboration with other coding staff and faculty. Works directly with physicians and other clinical staff as needed to provide documentation feedback and to develop appeals.

Research payer policies and processes.

Review clinical documentation in the medical record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patient's conditions and treatment.

Works with coders and IBC staff on medical terminology and policy interpretation as required.

Works assigned Epic Work queues, CRM tasks, and reviews remittance advice for rejections and accuracy of payment amounts as needed. Perform accounts receivable (AR) functions in the Epic billing system, including updating insurance information and demographics.

Special projects as assigned.

Organized in material, thought, and action regarding a wide variety of duties.

Maintain patient confidentiality regarding all financial and medical information.

Set personal goals as well as office goals; This is a Contract position based out of Saint Louis, MO.

If eligible, the benefits available for this temporary role may include the following:

Medical, dental & vision

Critical Illness, Accident, and Hospital

401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available

Life Insurance (Voluntary Life & AD&D for the employee and dependents)

Short and long-term disability

Health Spending Account (HSA)

Employee Assistance Program

Application Deadline

Use of Artificial Intelligence (AI)

We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

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