Per Diem Medical Coder -(3288036)
Description
The Coding Specialist reports to the Coding Manager and isresponsible for correct coding of professional services and upholding compliancestandards.
The Coding Specialist I isrequired to :
Perform coding and related duties using establishedProfessional Billing Office and Coding Services policies in an accurate andtimely manner.
Review medicaldocumentation and system generated charges or paper encounter forms.Appropriately assign CPT, ICD-9 / ICD-10,HCPCS II, and modifiers based on documentation and payor requirements.
Demonstrate a commitment to integrating codingcompliance standards into daily coding practices.Identify, correct and report codingproblems.
Maintain current knowledge of coding, compliance andreimbursement procedures.Review currentliterature, newsletters, payor policy updates and coding manuals.
Resolve coding edits and denials in a timelymanner.Identify opportunities to reducedenials and enhance revenue.
Function as a resource to Professional Billing Officeunits and external customers.Researchand resolve coding inquiries.Makerecommendations for coding policy changes.
Participate in the electronic or paperencounter form revision process to ensure correct coding standards aremet.
Develop and maintain division specific codingprocedures.
Complete special projects as assigned by managementwhich require defining problems, determining work sequences, summarizingfindings, and implementing required changes.
Participate in coding education for providers andco-workers.
Qualifications
High school diploma required
Completion of a Coding Certificate program or HealthInformation Technology Program or work experience equivalent required.
Experience in coding, billing, andknowledge of insurance reimbursement policies and regulations or equivalentexperience is preferred but not required if one has completed a CodingCertificate or Health Technology Program.
Course work in anatomy and physiology,medical terminology is strongly preferred
Coding Certification from American Academyof Professional Coders (AAPC) or American Health Information ManagementAssociation (AHIMA) is strongly preferred.
Certification may include CPC, CPC-H, CCS, CCS-P.
- Proficient in ICD-9, ICD-10, CPT, HCPCS, and modifiers for coding of professional fee services.
- Working knowledge of anatomy and physiology, medical terminology and insurance reimbursement policies and regulations.
- Excellent written and verbal communication skills and the ability to prioritize and organize work to meet strict deadlines are required.
- Accuracy and attention to detail
- Proficient with computer applications (MS Office etc), good data entry skills
The Professional BillingOffice is located in the Charlestown Navy Yard campus.
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