Certified Professional Coder - ENT Surgery, Remote
Home Office: Lewisville, TX
Job Family:
General Coding
Travel Required:
Clearance Required:
What You Will Do:
The ENT Surgery Coder must be proficient in surgical coding for all ENT Surgery type cases. The coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager—the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers and recommending the appropriate action to resolve the claim based on payer guidelines. This position is full time as and 100% remote.
What You Will Need:
- High School Diploma/GED or 3 years of relevant equivalent in lieu of diploma/GED
- Minimum 3-5 years coding complex ENT Surgeries
- CPC certification from AAPC
- EMR experience
- Must maintain credential throughout employment
- Strong Working Knowledge & experience with NCCI, CMS, AMA, Federal & State Coding regulations and Guidelines
What Would Be Nice To Have:
- AAPC Specialty credential
- Epic Experience
- Must be able to work independently, multi-task well and interface with all levels of personnel as well as clients
What We Offer:
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
Job Profile
Restrictions100% remote None
Benefits/Perks100% Remote 401(k) Retirement Plan Basic Life & Supplemental Life Childcare Program Company paid holidays Corporate Sponsored Events & Community Outreach Dental Emergency Back-Up Childcare Program Employee Referral Program Flexible Spending Accounts Health savings account Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts Medical Medical, Rx, Dental & Vision Insurance Paid holidays Parental leave Personal and Family Sick Time Personal and Family Sick Time & Company Paid Holidays Rx Short-term/Long-term disability Sick time Skills Development & Certifications Tuition reimbursement Tuition Reimbursement, Personal Development & Learning Opportunities Variable Incentive Bonus Vision Vision Insurance
Tasks- Apply appropriate ICD-10 Diagnosis codes and CPT/HCPCS codes
- Recommend appropriate actions to resolve claims
- Review clinical documentation
- Review clinical documentation and diagnostic results
- Review coding-related denials from payers
- Training
Clinical Documentation Coding CPT CPT/HCPCS Codes EMR HCPCS ICD-10 ICD-10-CM ICD-10 Diagnosis ICD-10 Diagnosis Codes Organizational Regulatory Compliance Surgical Coding Training
Experience3 - 5 years
Education CertificationsAAPC CPC CPC certification from AAPC CPC (Certified Professional Coder) from AAPC