Certified Coding Specialist

Job Description

Job Description

Job Title: Certified Coding SpecialistLocation: MedLink Georgia (Colbert On-site / Remote Options May Be Available)Employment Type: Full-TimeReports To: Revenue Cycle ManagerAbout MedLink Georgia:MedLink Georgia is a non-profit, community-based primary healthcare organization dedicated to providing high-quality, affordable care to the residents of Northeast Georgia. We offer a comprehensive range of medical services in a compassionate and patient-focused environment.Position Summary:MedLink Georgia is seeking a detail-oriented and experienced Certified Coding Specialist (CCS) to join our Revenue Cycle team. The ideal candidate will have a thorough understanding of ICD-10-CM, CPT, and HCPCS coding systems, and will be responsible for ensuring accurate coding of diagnoses and procedures to support optimal reimbursement and compliance with federal regulations.ESSENTIAL DUTIES AND RESPONSIBILITIES (include, but are not limited to, the following)Review of electronic medical records initiated by a healthcare Provider.Review and verify component parts of medical records to ensure completeness and accuracy of diagnosis and service provided.Perform prospective & retrospective chart reviews to confirm accuracy of codes assigned as supported by documentation. This will include International Classification of Diseases(ICD10), Current Procedural Terminology(CPT),Heath Care Financing Administration Common Procedure Coding Systems(HCPCS - all levels, and any other coding classification systems that may be required).Analyze medical record documentation for consistency and completeness for coding purposes using established criteria and regulations.Examine all documents in the record for authorized signature and patient identification to ensure all documents containsufficientdocumentationtosupportthediagnosisandtreatmentadministered,andtheresultsobtained are adequately described.Assist with/complete Accounts Receivable follow-up on outstanding claims for assigned area of focusOther duties as assigned.QUALIFICATIONS________________________________________________________To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.Working knowledge of Medicare, Medicaid and insurance billing proceduresWorking knowledge of medical chart audits/reviewKnowledge of State of Georgia collection lawsProven organizational skillsEffective written and verbal communication skills Effective analytical/computational skillsExtensive accounting software skillsAbility to work with minimal supervisionAbility to develop and maintain effective working relationships with co-workers, patients, peers, professional staff and management.EDUCATION and/or EXPERIENCE___________________________________________________________High school diploma or equivalent General Educational Development (GED) certificateAHIMA Certified Coding Specialist - Physician (CCS-P) or AAPC Certified Professional Coder (CPC) is required12 months coding/chart review or related experience. Experience in E&M & in-office procedure coding along with assigning ICD-10 codes strongly preferredBenefits:Competitive salaryHealth, dental, and vision insurancePaid time off and holidays401(k) with employer match