Regional Coding Specialist

Regional Coding Specialist

The Regional Coding Specialist is responsible for carefully reviewing charge tickets, patient charts, and supporting documentation to ensure codes are accurate, complete, and sequenced correctly in accordance with government regulations, insurance requirements, and applicable coding guidelines.

Required Education, Skills and Experience:

• Medical Coding Certificate preferred
• Minimum of two years of medical coding experience
• Strong computer skills, including data entry, coding, and experience with Electronic Medical Record (EMR) software
• Accurate and precise attention to detail
• Goal-oriented, organized team player with the ability to work independently
• Ability to multitask, prioritize, and manage time efficiently
• Understanding of medical terminology, anatomy, and physiology
• Proficient knowledge of computers and software, including:
• Microsoft Windows OS
• Google Docs
• Microsoft Word
• Microsoft Excel

Preferred Education, Skills and Experience:

• Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC)
• Certified Billing and Coding Specialist (CBCS) by the National Healthcareer Association (NHA)
• Qualified Medical Podiatry Coder (QMPC) by QPro

Essential Functions/Responsibilities (other duties may be assigned):

• Receive and review charge tickets, patient charts, and supporting documentation for accuracy and completeness
• Review and assign missing CPT, HCPCS, ICD-10-CM, and modifier codes to claims
• Ensure codes are accurate, current, active, and sequenced correctly in accordance with government regulations, insurance requirements, and applicable coding guidelines
• Perform accurate charge entry
• Identify and report missing, incomplete, insufficient, or unclear documentation
• Follow up with physicians regarding documentation that is insufficient or unclear
• Communicate with physicians and other clinical staff regarding documentation and coding requirements
• Research and resolve complex or unusual coding cases
• Serve as a resource for coding questions and insurance-related resolutions
• Meet established daily coding production and quality standards
• Update and maintain document lists and other coding-related records
• Follow coding guidelines and legal requirements to ensure compliance with federal and state regulations, health plan reimbursement requirements, and coverage policies
• Identify recurring system errors, workflow issues, and training gaps and assist with root cause analysis and resolution
• Perform additional duties as assigned by the supervisor

Benefits Offered:

• Health Insurance (Single & Family plans available)
• Life Insurance
• Disability Insurance
• 401(k) plan with Company Match
• Employee Discount Program
• Paid Time Off
• Paid Holidays

Qualifications:

Behaviors:

Required:

Team Player: Works well as a member of a group

Preferred:

Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well

Motivations:

Required:

Growth Opportunities: Inspired to perform well by the chance to take on more responsibility

Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals

Self-Starter: Inspired to perform without outside help

Licenses & Certifications:

Required:

Medical Coding

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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