Under the direction of the Coding Manager, performs various duties to accurately interpret and code for physician services.
Education and Experience:
High School Diploma or GED required. Associate degree preferred.
Must hold CPC or CRC credentials thru AAPC with a preferred minimum of two years' experience with CPT/ICD10/HCPCS coding of physician services.
Knowledge of insurance industry and medical terminology/anatomy required.
Required Skills / Abilities:
Good oral and written skills.
Detailed oriented with strong organizational skills.
Ability to be flexible with changing priorities, work volume, procedures, and variety of tasks.
Demonstrates the ability to work in a high pressure environment
Strong active listening skills, attention to detail, and decision-making skills are required
Pleasant, friendly attitude with the ability to adapt to change is essential
Superior problem- solving abilities is required
Ability to collaborate with all departments
Possess the ability to work with patients, clinical, non-clinical staff and providers from a variety of backgrounds and lifestyles while maintaining a non-judgmental attitude.
Possess excellent customer service skills and be well organized.
Ability to communicate effectively utilizing both oral and written means.
Ability to handle various tasks simultaneously while working efficiently, effectively, and independently
Must be comfortable taking direction from Leadership
Supervisory Responsibilities:
None
Essential Job Functions:
These essential job functions are required of the Certified Coding Specialist based upon departmental and organizational guidelines, processes, and/or policies. It is the Certified Coding Specialist's responsibility while working to ensure excellence in service for the internal and external customers.
Review assigned charts for correct ICD10 and CPT coding.
Interprets progress note and diagnostic reports to determine services provided and accurately assign CPT and ICD10 coding to those services.
Work with team members to educate Revenue Cycle staff on proper coding. Work in coordination with the Revenue Cycle Department for coding issues relating to claim processing.
Must maintain coding credentials thru AAPC.
Ability to research coding questions in order to remain compliant with third party and regulatory guidelines.
Perform other assigned duties.
Position Category:
Certified Coding Specialist I
Candidate has no previous medical billing or insurance industry experience
Candidate has no previous coding experience
Certified Coding Specialist II
Candidate has less than 5 years of medical billing or insurance industry experience and/or
Candidate has less than 5 years of medical coding experience
Certified Coding Specialist III
Candidate has more than 5 years of medical billing or insurance industry experience and/or
Candidate has more than 5 years of medical coding experience
Physical Requirements:
Must be able to lift 30 pounds. Vision and hearing corrected to within normal limits is required. Must have manual dexterity to key in data; utilize computer, grab, grip, hold, tear, cut, sort, and reach.
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