Medical Coding Specialist
Job Details
Position Overview: Reporting to the Coding Manager, the Coding Specialist is responsible for assigning medical codes to facility charges for multispecialty outpatient surgical facilities resulting in claims reimbursement.
Responsibilities:
- Review and analyze medical records to identify diagnoses, procedures, and services provided
- Assign appropriate ICD-10 codes to reflect the diagnoses and procedures documented in the medical records.
- Ensure coding accuracy and compliance with coding guidelines, regulations, and payer requirements.
- Manage daily coding email queues providing responses within 3 business days.
- Problem-solve claim edits and support the denial process as requested.
- Uphold productivity standards / goals set by coding leaders
- Maintain coding quality accuracy rate of 95.5%
- Identify documentation issues (lacking documentation) that impact coding accuracy.
- Clearly communicate (verbally and in written reports or summaries) opportunities for documentation improvement related to coding issues.
- Must possess knowledge of third-party reimbursement regulations and billing practices
- Ability to examine documents for accuracy and completeness
- Ability to understand and follow compliance issues of moderate complexity by utilizing appropriate coding/compliance resources
- Must possess moderate knowledge of CCI edits and LCDs and be able to accurately apply regulation knowledge to coding situations
·Additional duties as assigned.
Required Skills:
- RHIA, RHIT, CPC, COC, or CCS certification required.
- Associates degree in relevant field preferred or combination of equivalent of education and experience
- Must have knowledge of AMA, CMS, and CPT coding guidelines.
- Knowledge of ICD-10-CM, medical terminology, anatomy & physiology.
- 2+ years of ASC revenue cycle or coding experience.
- Proficient in Microsoft Word, Excel
- Ability to maintain required productivity and accuracy standards.
- Excellent verbal and written communication skills.
- Ability to prioritize workload, handle competing priorities, while meeting or exceeding deadlines.
Employment practices will not be influenced or affected by an applicant’s or
employee’s race, color, religion, sex (including pregnancy), national origin,
age, disability, genetic information, sexual orientation, gender identity or
expression, veteran status or any other legally protected status. Tenet will
make reasonable accommodations for qualified individuals with disabilities
unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program.
Follow the link below for additional information.
E-Verify: http://www.uscis.gov/e-verify