Remote Medical Coder- Infusion Job at Insight Global, Columbus, GA

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  • Insight Global
  • Columbus, GA

Job Description

Must-Haves:

  • Epic Experience
  • 4-5+ years of medical coding
  • AAPC Certification
  • Freestanding clinic / office, outpatient center experience
  • Infusion coding experience

Plusses

  • Incident TO billing experience

Day to Day:

  • Review outpatient provider and nursing documentation for infusion services and E/M encounters.
  • Assign accurate CPT, HCPCS, and ICD‑10‑CM codes for outpatient infusion, injection, hydration, and clinic visits.
  • Apply correct time‑based infusion coding (initial, subsequent, concurrent) and appropriate drug J‑codes.
  • Determine appropriate E/M levels using medical decision‑making or time‑based guidelines.
  • Ensure correct use of modifiers (e.g., ‑25) when billing E/M services with infusion procedures.
  • Validate coding against CMS outpatient guidelines, payer policies, and NCCI edits.
  • Identify documentation gaps and submit provider queries as needed.
  • Partner with billing and revenue cycle teams to resolve outpatient claim denials and appeals.
  • Maintain productivity and accuracy standards in a high‑volume outpatient setting.

Job Tags

Work at office

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