Medical Coder Job at Nexus HR Services, Franklin Park, IL

RVBDNXFpd0V3K1VEQlhvY2tnTDlobTVG
  • Nexus HR Services
  • Franklin Park, IL

Job Description

Medical Coder - Remote

Compensation: $18-$20 hourly DOE

Employment: 1099

Overview: Nexus HR is looking for experienced and certified Medical Coders to provide accurate, compliant, and high-quality coding services for one of our prestigious clients in the healthcare industry. This is a remote opportunity supporting risk adjustment coding for Medicare, Commercial, and Medicaid lines of business. Coders will work with clinical documentation and use client applications to extract ICD-10-CM codes while maintaining high standards of accuracy and compliance.

About the Job

The Medical Coder will be responsible for reviewing medical records and assigning appropriate ICD-10-CM codes for risk adjustment purposes. Coders will work on different projects throughout the coding season, including first-pass coding, submission review, and quality assurance. All coders are expected to maintain minimum quality and production benchmarks and will follow both client and industry coding guidelines.

Duties and Responsibilities:

  • Assign appropriate ICD-10-CM codes to diagnoses and procedures in accordance with CMS/HHS and client-specific guidelines.

  • Work across Medical, Commercial, and Medicaid Risk Adjustment projects.

  • Use client-provided Application Services to code and maintain necessary documentation for rebuttal and quality control.

  • Review all Dates of Service (DOS) to capture relevant risk-adjustable or all appropriate diagnoses based on the client’s selected Coding Approach (Best DOS or All DOS).

  • Assign issue flags at the Medical Record, Diagnosis, and DOS levels for documentation issues.

  • Participate in Submissions Review for higher-level approval of ICD-10-CM codes flagged for submission.

  • Maintain a minimum of 98% monthly coding quality accuracy, with removal from the project if accuracy drops below 95% for two consecutive months.

  • Submit daily production reports comparing volume coded to the daily target.

  • Input required data simultaneously in client systems to ensure traceability and quality rebuttals.

  • Follow HIPAA guidelines and protect all patient information.

  • TLs, SMEs, and Managers must ensure adherence to TAT and take accountability for the team’s coding quality.

  • Complete annual compliance training (HIPAA, Fraud, Waste & Abuse, Privacy & Security) and attest to reading client coding and ethics policies.

Qualifications :

  • Minimum of 4 years of medical coding experience.
  • Must demonstrate coding proficiency and knowledge.
  • Licenses/Certifications (Required):
  • AAPC (minimum CPC or CRC) OR\
  • AHIMA (minimum CCS or CCA)
  • Certifications must be current and not apprentice-level.
  • Deep understanding of CMS ICD-10-CM Official Guidelines, AHA’s Coding Clinic, and risk adjustment principles.
  • Ability to use NLP/Computer Assisted Coding tools (preferred).
  • Excellent attention to detail, accuracy, and documentation.
  • Ability to meet daily/weekly productivity and quality targets.
  • Risk adjustment coding for Medicare, Commercial, and Medicaid lines of business.
  • Compliance with client coding approaches and documentation standards.
  • Proficient in English (reading and written communication required).
  • Must be authorized to work in the United States.

Job Tags

Hourly pay, Apprenticeship, Remote job,

Similar Jobs

Stockton, Barker & Mead, LLP

Legal Secretary/Assistant Job at Stockton, Barker & Mead, LLP

 ...files dictated by attorneys. Prepares legal papers using fill-in forms published by the...  ...documents, and other printed matter. ~ Assist attorneys in collecting information. ~...  ...time. Qualifications Previous experience as a Legal Assistant or similar role is preferred... 

Seasoned Recruitment

Remote Psychiatric Mental Health Nurse Practitioner - PMHNP Job at Seasoned Recruitment

 ...Are you a dedicated Psychiatric Nurse Practitioner looking for the flexibility to work independently? Do you want to set your own schedule while...  ...Practitioner to join our team and provide exceptional mental health care to our patients. In this role, you will work independently... 

Group 46:10

Real Estate Agent Salesperson Job at Group 46:10

 ...Description Elevate your career by joining the elite top 20% of real estate professionals in North America as a Real Estate Agent. We...  ...committed, this environment is ideal for your professional development. Benefit from a clear career advancement plan that offers revenue... 

PCAH of South Miami

Hiring Home Care/Private Duty HHA's and CNA's Job at PCAH of South Miami

 ...Certified Nursing Assistants (CNAs) and Certified Home Health Aides (CHHAs)/Home Health Aides (HHAs).Requirements:* Possession of CNA license or HHA certification* Proficiency in English language* CPR certification, Level 2 Background ScreeningWhat We Provide:... 

Intermedia Group, Inc.

Charge Nurse- Emergency Department- Night Shift - to $114,000 Job at Intermedia Group, Inc.

 ...OPEN JOB: Charge Nurse- Emergency Department- Night Shift LOCATION:Randallstown, Maryland SALARY: $97,760 to $114,400 FULL-TIME BENEFITS -Full BONUS ELIGIBLE -Yes As a Charge Nurse, you will have the opportunity to lead and mentor a dynamic team while...