Offer summary

Qualifications:

High School diploma or equivalent required., Coding Certification from a nationally recognized coding institution is necessary., Minimum of 3 years of professional coding experience is required., Strong knowledge of medical billing and coding practices, including ICD-10, CPT, and HCPCS. .

Key responsabilities:

Read and analyze patient records to determine correct coding.

Accurately code for specialty services and submit clean claims for payment.

Monitor and correct claim denials while documenting trends for follow-up.

Assist with provider education and maintain compliance with coding guidelines.

Job description

Responsibilities:

Read and analyze patient records
Determine correct codes for patient records
Accurately and efficiently code for specialty services such as oncology and radiology
Submits clean claims for payment
Maintain an error rate of 5% or less
Monitor, research, and correct claim denials within health plan requirements and document any trends with which to follow-up
Assist with provider education
Complies with Federal and State standards utilizing CCI edits, Medicare bulletins, ACR bulletins, etc. to keep abreast of the changes within the industry
Maintains knowledge of and complies with coding guidelines
Follow-up with multi-specialty practices on coding holds
Find documentation in multiple EMR systems such as EPIC, ECW, Cerner, Meditech
Interacts with clients to ensure accuracy
Maintain patient confidentiality and information security
Must meet production goals assigned by supervisor

Qualifications:

High School or Equivalent
Coding Certification from a nationally recognized coding institution
3 years Professional Coding experience

Preferred:

FQHC experience
eCW experience
Meditech experience
Prior work history in a high production environment

Skills and Abilities:

Strong knowledge of medical billing and coding practices
Extensive knowledge of ICD-10, CPT, HCPCS
Strong Insurance Knowledge
Ability to work EMR systems
Must demonstrate strong analytical skills and proficiency with Microsoft office products
Must have strong critical thinking skills
Maintains effectiveness when experiencing major changes in work tasks or the work environment
Ability to work independently without close supervision
Ability to exercise judgement and make decisions
Ability to perform in a high productivity, fast-paced environment
Interpersonal skills and conflict resolution
Attention to detail
Excellent phone and computer skills
Ability to maintain sensitive information in confidence
Ability to meet deadlines and prioritize responsibilities
Strong ability to uphold organizational values, work with integrity and ethically, inspire the trust of others, and treat people with respect
Strong HIPAA and OSHA knowledge