Primary Care Clinic Coding Specialist

 About Us:

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. 

We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.  

JOB SUMMARY:

The Coding Specialist II is responsible for accurately coding (ICD-10-CM, CPT, if applicable, Level I & II modifiers, if applicable) evaluation and management, surgery, emergency room, observation, injections and infusions, or coding edit and denials resolution. May also code: outpatient facility ancillary or clinic services. Will be working with multiple facility specific, state billing and coding guidelines as well as various Medicare Administrative Contractors nation-wide.

*This role will be focused on Primary Care Coding - experience with professional fee, Annual Wellness Visits, Office Procedures, Multi-specialty, etc.*

*Cerner and/or Meditech Experience

ESSENTIAL DUTIES AND RESPONSIBILITIES: 
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

• ESSENTIAL JOB FUNCTIONS:

  Project Work

  Record Keeping

       

  Analysis/Reporting

  Customer Service
  • Outpatient Facility Coding (Ancillary & Clinic, etc.)
  • Professional Clinic or Specialty Coding (E&M)
  • Coding edits and denials resolution
  • Completion of Masterlog of accounts coded daily
  • Completion of Time Allocation reports daily
  • Identifies trends and reports to Coding manager
  • Identifies potential issues or errors
  • Client liaison to communicate account inquiries
  • Identifies daily work queues

PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.