MEDICAL CODER II - FULL TIME

Healthcare Claims Reimbursement Specialist

Summary/Objective: Obtain accurate reimbursement for healthcare claims.

Essential Functions

• Reviews and resolves all assigned charges thoroughly based on coding guidelines, chart documentation and related charges in billing system.
• Audits task manager work files with charges reviewed by Claims Manager that were found to have coding errors/omissions.
• When appropriate communicates approved coding changes and/or questions to Physician's and their office staff. Also alerts providers of missing or late charges.
• Alerts management to coding trends discovered while working daily charges/edits.
• Stays informed and up to date on coding issues by attending seminars. Possesses a comprehensive understanding of carrier specific State of Florida billing guidelines.
• Consistently stays within the department production goal set for your area

Required Education and Experience: High School Graduate or Equivalent. Must be a certified coder either through AAPC or an equivalent organization. Certificate of ICD-10 proficiency required.

Preferred Education and Experience: 2-3 years experience in the medical coding field. Must have a good knowledge of medical terminology, anatomy, diagnosis and procedure codes. Must be able to plan and prioritize workflow and produce an acceptable volume of work accurately. Must possess strong analytical and research capabilities to review physician and nurse documentation. Good problem solving skills and the ability to communicate clearly in writing and verbally to assigned providers and support staff.