Coding Specialist

Job Description

Job Description

Description :

Overall Responsibility : Position requires posting of Office Charges in accordance with current payer guidelines. This individual needs to be knowledgeable in CPT guidelines, modifiers and ICD 10 coding.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Create claims from encounters.
• Verify and correct all information needed for a clean claim.
• Communicate with staff regarding missing or additional information needed to process the claim.
• Add or change ICD 10 according to patient’s progress note.
• Add modifiers to receive correct reimbursement.
• Update appointment claim data if different than patient demographics.
• Verify insurance information is complete with group numbers, ID# and correct subscriber.
• Apply injury information from billing summary note.
• Post charges for physicians and physician assistants.
• Add any additional charges that are listed in progress notes.
• Communicate with physician / assistant regarding appropriate coding of office charges.
• Make account comments to clarify actions taken to reconcile outstanding posting issues.
• Posting payments that are collected at time of visit and allocated to line item.
• Post adjustments to patient accounts.
• Review DME log for form completion.
• Training of other office staff in charge posting.
• Required to post a minimum off a 100 claims a day
• Work with Coding Team to make sure all claims are created timely

Requirements :

Skills and Attributes

Ability to multi-task

Strong organizational skills

Self Starter

Education and / or Experience

High school diploma or general education degree (GED); and twelve to eighteen months related experience and / or training; or equivalent combination of education and experience

Language Skills

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to speak effectively before patients, outside vendors or other employees within the organization. Ability to communicate clearly and professionally.

Mathematical Skills

Ability to calculate figures and amounts such as discounts, interest, percentages, area, circumference and volume. Ability to apply concepts of basic algebra.

Reasoning Ability

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form.

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 must be able to remain in a stationary position 50 percent of the time; constantly operates a computer and other office equipment; must be able to frequently communicate with patients, staff, providers; must be able to exchange accurate information in these situations. The employee in this position needs to frequently move about the office. The employee frequently moves and or transports up to 25 pounds. The employee may occasionally be required to position self to assist patients and move equipment. Specific vision abilities required by this job include the ability to identify, recognize, observe, inspect documentation and equipment.

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.

Work is performed in an office environment. Work may be stressful at times. Contact may involve dealing with angry or upset people. The noise level in the work environment is usually moderate.