US Medical Coder

Company Description

Aura Communication, established in 2012 in Cairo, Egypt, is a leader in Business Process Outsourcing (BPO) services with a workforce exceeding 800 employees. We provide customized solutions including inbound and outbound call center services, back-office support, and technical assistance tailored to client needs. Known for delivering exceptional customer experience, Aura specializes in flexible high-quality outsourced customer support, emphasizing inbound care, sales, marketing, and technical solutions.

Role Description

This is a full-time remote position for a US Medical Coder. The Medical Coder will be responsible for reviewing medical records, assigning accurate codes for diagnoses and procedures, and ensuring compliance with coding standards and regulations. Key responsibilities include working closely with healthcare providers, maintaining data accuracy within health records, and contributing to efficient revenue cycle management processes.

Qualifications

• Minimum four-year college degree

• Certified Professional Coder (CPC) through AAPC or AHIMA strongly preferred, or willingness to complete company-sponsored certification program, as required by employer

• Minimum 2-year experience as Certified Professional Coder

• Proficient in assigning ICD-10-CM codes according to provider documentation level to comply with US federal regulations and insurance requirements

• Excellent English verbal and written communication skills

• Excellent customer service skills

• Excellent organizational skills and attention to detail

• Ability to effectively present information in one-on-one situations to providers, office staff, insurance companies, and other employees

• Knowledge of Microsoft Word, Excel, Internet software, Email software, and insurance web sites

Responsibilities

• Reviewing encounter notes and other supporting documentation and assigning diagnosis codes and procedure codes to create claims

• Assigning appropriate level II codes to quality measures for HEDIS reporting

• Follow official US coding guidelines and insurance regulations

• Knowledge of Medicare Risk Adjustment Methodology, HEDIS, CMS coding guidelines, and US coding/documentation and billing standards and regulations

• Conduct workflows in Coding and Quality processes, medical record completion and department projects for accuracy in medical record documentation as needed

• Ensure proper code selection for compliance with ICD-10-CM Official Guidelines for US Coding and Reporting

• Identify and communicate improper or noncompliant documentation

•
Review medical record to include consultations (inpatient and outpatient) and hospital discharge summaries to ensure continuity of care and continued coding for accurate risk adjustment

• Perform pre-post audits to ensure medical record completeness, consistency, and compliance

• Work collaboratively with medical and supporting staff to follow-up on documentation needs to support the diagnosis and quality measures based on patient age and chronic conditions

• Use only pre-approved source documents as validation for recommendations on documentation that meets the technical specifications in support of a measure

• Develop and maintain professional skills and knowledge through training programs including education sessions for ICD-10-CM and CPT codes

• Demonstrate a thorough understanding of US Coding Guidelines

• Demonstrate an understanding of company policies which impact Coding functions and takes ownership for compliance for own area of responsibility

• Collaborate with Supervisor as necessary to clarify and verify information

• Report opportunities identified in concurrent and retrospective clinical documentation to support quality, regulatory compliance, and effective coding

• Participate in department meetings

• Consistently demonstrate awareness and willingness to fulfill service excellence commitments

• Work collaboratively with team members, other departments, and clinical staff consistent with the Mission and Vision of the company

• Willingly perform similar or related tasks as assigned

• Assist in teaching any office staff and/or providers in proper documentation and coding guidelines as necessary

• Accurately enter all identified and validated procedures codes in claims into the practice's EMR

• Perform all other coding and documentation reviews and/or projects as asked and assists/coordinates strategies as defined by the department head or assistant

Benefits

• Highly competitive salary

• Bonus based on performance

• Paid Holidays

• Vacation and Sick Time

• Team-oriented atmosphere

• Bonus based on performance

• Health insurance

• Paid time off

• Training & development

• Work from home

• Retirement contributions