OP Medical Coder

This is a remote position.

Valerion Health Inc. is a premier provider of medical coding auditing and revenue cycle management solutions helping healthcare organizations improve accuracy compliance and financial performance. We partner with hospitals physician groups and healthcare systems to optimize coding efficiency and reimbursement strategies.

We are looking for a Business Development Associate to join our team and drive growth by identifying new business opportunities building strong client relationships and supporting sales initiatives in the medical coding and revenue cycle industry.

The Outpatient Medical Coder is responsible for reviewing clinical documents and assigning appropriate ICD10 (International Classification of Diseases) and CPT (Current Procedural Terminology) codes to Outpatient encounters. This role ensures accurate coding compliance with healthcare regulations and timely submission of claims for reimbursement. The ideal candidate will have a strong understanding of Outpatient hospital coding healthcare billing and coding compliance regulations.

What you will do:

• Accurately assign ICD10 diagnosis codes ICD10 procedure codes and CPT codes to outpatient and/or OBS/SDS ED or ancillary medical records based on documentation provided by healthcare providers.
  
• Ensure all codes comply with established coding guidelines payer requirements and regulations.
  
• Review patient charts and medical records to extract information required for coding.
  
• Ensure that documentation supports the assigned codes and that all procedures and diagnoses are correctly captured.
  
• Follow the coding conventions and guidelines outlined by the American Health Information Management Association (AHIMA) American Academy of Professional Coders (AAPC) and Centers for Medicare & Medicaid Services (CMS).
  
• Ensure all coding practices comply with federal state and payerspecific regulations.
  
• Work closely with billing and reimbursement teams to ensure timely and accurate claims submissions to insurance providers.
  
• Verify the completeness and accuracy of coded information before submission to ensure proper reimbursement and minimize the risk of claim denials.
  
• Communicate with physicians and other healthcare providers to clarify documentation if necessary.
  
• Collaborate with clinical staff to improve the quality and accuracy of clinical documentation.
  
• Stay updated on coding changes updates to ICD10 CPT and HCPCS Level II codes.
  
• Attend relevant training webinars and workshops to maintain coding certifications and improve coding skills.
  

Requirements

What you will bring to the table:

• At least 2 years of experience in Outpatient coding in a hospital or healthcare setting.
  
• Experience with ICD10 CPT and HCPCS Level II coding systems.
  
• Familiarity with coding software and electronic health records (EHR) systems is a plus.
  
• High school diploma or equivalent required.
  
• Certified Professional Coder (CPC) preferred and/or RHIT or RHIA.
  
• Completion of a formal coding training program or equivalent experience in medical coding is highly desirable.
  
• Strong attention to detail and analytical skills.
  
• Indepth knowledge of medical terminology anatomy and physiology.
  
• Ability to work independently and as part of a team.
  
• Excellent communication skills for collaborating with clinical staff and ensuring clarity of documentation.
  
• Knowledge of HIPAA compliance and patient confidentiality regulations.
  

Benefits

FULL TIME TEAM MEMBERS:

• Health dental and vision insurance effective DAY ONE of employment!
  
• Generous Paid time off (PTO)
  
• W2
  
• 401(k) plan with employer match!
  

PART TIME TEAM MEMBERS

• 1099/hourly
  

This position is paying $26.00$32.00 per hour.

Valerion Health is an employer who pledges not to discriminate against employees based on race color religion sex (including pregnancy) national origin age disability or genetic information.

Job Type: Full Time and Part Time/Remote