Coding Specialist-2
About The Position
Analyzes and reviews medical records and assigns appropriate codes for billing and statistical purposes. Ensures accuracy and compliance with coding guidelines and regulations. Essential Functions: Analyzes medical records and utilizes coding books to accurately assign codes for diagnoses, procedures, and other medical services or charges. Reviews claims denials and appeals to identify coding errors. Performs coding and billing corrections and charge reconciliations. Researches newly identified diagnoses and procedures for code assignments. Maintains compliance with current coding guidelines and regulations. Communicates with physicians, parents, and third-party payors to ensure billing and reimbursement accuracy. Assists customers and staff with billing and coding questions. Conducts billing and coding audits to ensure accuracy and identify missed opportunities. Reports the results and recommends quality improvements.
Requirements
- As required by listed licensure and/or certification requirement.
- RHIT, RHIA, CPC, CCS, CCS-P, or COC, required.
- Two years of coding experience, required.
- Three years computer experience in a data processing capacity, required.
- Audible speech
- Color vision
- Computer skills
- Decision Making
- Flexing/extending of neck
- Hand use: grasping, gripping, turning
- Hearing acuity
- Interpreting Data
- Peripheral vision
- Problem solving
- Repetitive hand/arm use
- Seeing – Far/near
- Sitting
- Ability to multi-task within a demanding environment.
Responsibilities
- Analyzes medical records and utilizes coding books to accurately assign codes for diagnoses, procedures, and other medical services or charges.
- Reviews claims denials and appeals to identify coding errors.
- Performs coding and billing corrections and charge reconciliations.
- Researches newly identified diagnoses and procedures for code assignments.
- Maintains compliance with current coding guidelines and regulations.
- Communicates with physicians, parents, and third-party payors to ensure billing and reimbursement accuracy.
- Assists customers and staff with billing and coding questions.
- Conducts billing and coding audits to ensure accuracy and identify missed opportunities.
- Reports the results and recommends quality improvements.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
