Coding Specialist - Revenue Cycle Management

Coding Specialist

Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values.

Responsible for coding claims for professional fees for practice based physicians or other entities.

Reviews professional documentation for accurate CPT, HCPCS, and ICD-10 CM coding that adheres to coding compliance guidelines for accurate, timely, and consistent codes.

Maintain CEUs for AAPC Membership/Certification.

Ability to look up CPT, HCPCS, and ICD-10 CM codes from online service or using traditional coding references.

Manage time to meet productivity standards to ensure coding is within departmental goal.

Assist billing department with coding denials/appeals from various payors to ensure optimum reimbursement for documented services.

Maintains knowledge of payor coding and billing guidelines for assigned specialties.

Communicates coding trends or problems identified as impacting reimbursement to the management team.

Able to serve as a resource to other coding specialists.

Develop working relationship with physicians/providers and office staff.

Regularly meets with the Coding Manager to discuss and resolve coding issues or obstacles.

Knowledge of billing guidelines and requirements for all payors.

Travel may be required to satellite offices and/or practices.

Work Schedule: 80 Hours bi-weekly

Qualifications /Training:

A minimum of 1-2 years of coding and billing experience preferred. A computer background in Microsoft Excel/Office. Oral and written communication skills as well as analytical and organizational skills.

Licenses/Certifications/Registrations/Education:

CPC or CPC-A Certification thru the AAPC or other nationally recognized coding credentialing is required. If certification is through another nationally recognized credentialing entity, employee must obtain AAPC certification within one year of hire. Minimum of a High School Diploma or equivalent from an accredited school is required.