Summary
The Certified Coding Specialist protects and recovers the clinic’s patient reimbursement by acting as a coding / billing resource for all MWU clinics, educating providers, monitoring accounts receivable, and collecting delinquent accounts. This position will report to the Assistant Manager of Patient Accounts.
Essential Duties and Responsibilities :
Supervisory Responsibilities
This position has no supervisory responsibilities.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required. Must be able to work in a constant state of alertness and safe manner and have regular, predictable, in-person attendance. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Other Qualifications
The position requires strict compliance with all policies and procedures. This position requires a significant amount of interaction with the public and many internal customers and therefore, the individual must be able to develop positive rapport effectively.
Education and / or Experience
High school diploma or GED required. Associate degree preferred. A minimum of 3-5 years of coding experience in a medical office setting and a current Certified Professional Coder (CPC) certification required. Expert knowledge of ICD-10, CPT, HCPCS, modifiers, and medical terminology required. Experience working with Medicare, Medicaid, Third party payers is also required. Expert in interpreting LCD and NCD coverage criteria. Knowledge of the revenue cycle, charge master, manual book coding / computer coding experience. Excellent interpersonal, communication and customer service skills are required. Strong analytical and problem solving skills. Excellent verbal and written communication skills are a must. Must be able to work independently and multi-task working on several projects at once.
Computer Skills
Computer proficiency in MS Office (Word, Excel, Outlook) is required. Experience using medical practice management software is required.
Language Skills
Intermediate skills : Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
Reasoning Ability
Basic skills : Ability apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.
Mathematical Ability
Basic skills : Ability to add, subtract, multiply, and divide all units of measure using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to interpret bar graphs.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to sit, talk and hear. The employee must regularly use hands to handle or feel and reach with hands and arms. The employee is occasionally required to stand and walk. The employee must frequently lift and / or move up to 10 pounds and occasionally lift and / or move up to 25 pounds.
Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
Midwestern University is a private, not-for-profit organization that provides graduate and post-graduate education in the health sciences. The University has two campuses, one in Downers Grove, Illinois and the other in Glendale, Arizona. More than 6,000 full-time students are enrolled in graduate programs in osteopathic medicine, dentistry, pharmacy, physician assistant studies, physical therapy, occupational therapy, nurse anesthesia, cardiovascular perfusion, podiatry, optometry, clinical psychology, speech language pathology, biomedical sciences and veterinary medicine. Over 500 full-time faculty members and 400 staff members are dedicated to the education and development of our students in an environment that encourages learning, respect for all members of the health care team, service, interdisciplinary scholarly activity, and personal growth.
We offer a comprehensive benefits package that includes medical, dental, and vision insurance plans as well as life insurance, short / long term disability and pet insurance. We offer flexible spending accounts including healthcare reimbursement and child / dependent care account. We offer a work life balance with competitive time off package including paid holiday’s, sick / flex days, personal days and vacation days. We offer a 403(b) retirement plan, tuition reimbursement, child care subsidy reimbursement program, identity theft protection and an employee assistance program. Wellness is important to us and we offer a wellness facility on-site with a fully equipped fitness facility.
Coding Specialist • Glendale, AZ, US