Coding Reimbursement Specialist II
New
United States, Monday to Friday 8 am to 5 pmFull-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- Minimum of three (3) years
Requirements
- High school diploma or GED completion.
- Minimum of three years of experience with CPT and ICD-10 coding for physician services.
- Active coding certification required (CPC certification preferred).
- Must maintain active certification and CEUs.
- Advanced knowledge of medical terminology, anatomy, and physiology.
- Ability to apply payer-specific coding, bundling, and modifier rules.
- Understanding of regulatory guidelines, including NCDs and LCDs.
- Knowledge of ICD-10 CM/PCS and CPT/HCPCS coding systems and methodologies.
- Ability to interpret clinical data and work independently in a fast-paced environment.
- Experience in Family Practice, Internal Medicine, Cardiology, Rheumatology, Endocrinology, Gynecology, or Dermatology is preferred.
Responsibilities
- Perform initial charge review to determine appropriate ICD-10 and CPT codes for physician services.
- Interpret clinical documentation to assign accurate CPT and ICD-10 codes per AMA guidelines.
- Enter diagnostic and procedure codes and modifiers into the TMP billing system.
- Communicate with physicians via query protocols to ensure proper coding of services.
- Review patient logs and clinical activity reports to ensure comprehensive billing capture.
- Monitor compliance with third-party payer and regulatory guidelines.
- Collaborate with reimbursement staff to resolve coding and billing inquiries.
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