Medical Coding Specialist

i3 Verticals Management Services, Inc.
Shreveport, LA, US
Full-time

Job Description

Job Description

JOB TITLE : Medical Coding Specialist

DEPARTMENT : Healthcare Vertical : ACS

REPORTS TO : Manager and / or Area Manager

SUPERVISORY RESPONSIBILITIES : no

JOB LOCATION : Shreveport, LA

TRAVEL : no

SUMMARY OF POSITION : Under the directions of the Coding Services Supervisor and Manager, this position will be responsible for CPT and ICD-10 coding and ensuring accuracy and maximum reimbursement and minimizing denials.

ESSENTIAL DUTIES & RESPONSIBILITIES :

  • Assigns accurately and sequences appropriately ICD-10 and CPT codes and all applicable modifiers
  • Contacts clients as appropriate when documentation in the medical record is inadequate, ambiguous or unclear for coding purposes.
  • Monitors regulatory and payer changes as they apply to diagnostic and procedure coding
  • Researches and resolves coding related system edits, payer rejections and insurance denials.
  • Identify system edit, payer rejection and insurance denial trends for client policy and procedure improvement.
  • Maintains up to date knowledge of the current changes of coding practices by continuing education and reading resource material.
  • Other innovative and progressive duties as assigned

MINIMUM QUALIFICATIONS (EDUCATION AND EXPERIENCE) : High School diploma or GED

PREFERRED QUALIFICATIONS (EDUCATION AND EXPERIENCE) :

A successful candidate must have proficient knowledge / capabilities in the following areas :

  • Nationally recognized coding credential including, but not limited to CPC, COC, CCS, CCS-P, RHIA or RHIT through AHIMA / AAPC.
  • High school diploma or equivalent required.
  • 1-3+ years coding experience required, and outpatient physician and / or multi-specialty coding experience, preferred.
  • Understanding of all or a combination of ICD-10, CPT, HCPCS, modifiers, medical terminology and HIPAA compliance.
  • Possess strong written and verbal communication skills to communicate effectively with individuals at all levels of the organization.
  • Ability to work under general supervision
  • Ability to work in a fast-paced department and handle multiple tasks, work with interruptions, and deal effectively with confidential information.
  • Possess excellent telephone etiquette, presentation skills and problem resolution skills
  • Computer skills including Microsoft Office Suite
  • Must be highly organized and detail-oriented
  • Understands fully the requirements to meet HIPPA regulations. Must treat all patient information and data with complete confidentiality and takes all precaution to secure this information.
  • Cooperates fully in all risk management activities and investigations for QM purposes.
  • 2 days ago
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