Specialist, Certified Coding
New
United StatesFull-TimeMiddle
Salary45,760 - 52,000 USD per year
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Job Details
- Experience
- 5+ years’ experience preferred / 2 years minimum required.
- Required Skills
- Microsoft OfficeCompliance
Requirements
- High School Graduate/GED required; Associate’s or Bachelor’s degree preferred
- Required Coding Certification: CPC, CCS-P, CCA, CCS or RHIT, RHIA
- Minimum 2 years of experience required
- EMR experience required
- Proficiency in Microsoft Office Applications (Excel, Word, Outlook, Teams)
- Knowledge of anatomy, disease processes, and medical terminology
- Understanding of AMA, specialty specific coding/billing/auditing concepts
- Knowledge of compliance guidelines (CMS/OIG/Federal/State regulations)
Responsibilities
- Monitoring and working work queues/dashboard for assigned providers and specialties
- Code all documented professional services provided in both clinic and other facilities
- Applies CPT-4, ICD-10-CM, HCPCS and modifiers following coding guidelines
- Ensures coded services, provider charges and medical record documentation meet appropriate guidelines and standards
- Keeps abreast of coding guidelines and reimbursement reporting requirements
- Ensure timely charge review/processing of daily submissions
- Monthly review of reports to identify and abstract any missed charges
- Works collaboratively with Team to ensure monthly goals are met
- Responsible for creating/updating reference tools for assigned specialties
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