SUMMARY: Full Time Medical Coding Specialist performs diagnosis and procedural coding to individual patient medical records for data retrieval, analysis, and claims processing. This is a hybrid position initially required in office presence and the opportunity to work partially remote when workflow allows.
DUTIES AND RESPONSIBILITIES:
- Reviews the patient ‘s medical record for accurate and complete documentation prior to coding.
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Works closely with the physician coordinator regarding discrepancies found in patient’s record prior to claim submission
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Codes for assigned physicians, locations, and/or departments from review of medical record documentation.
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Applies knowledge of current coding and billing requirements to assure claims are submitted correctly
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Brings identified concerns and trends to the manager/team lead for resolution.
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Reviews coding and billing worklists and resolves claim rejections.
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Enters patient demographic information and verifies patient insurance coverage
QUALIFICATIONS:
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Working knowledge of CPT and ICD10 coding
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Medical coding certification (AAPC or AHIMA) preferred or currently in progress
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Minimum 2 years’ experience in medical billing and coding
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Excellent attention to detail and follow up
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Knowledgeable of payer rules and requirements for both coding and eligibility checking
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High school diploma or general education degree
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Computer skills required: Efficient data entry skills for both speed and accuracy
JOB TYPE / WORK SCHEDULE:
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This is a hybrid position initially required in office presence
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Standard office hours, Monday – Friday
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Bilingual (Required)
Competitive pay and a full benefits package, including 401(k), health, dental, vision, life, and disability insurance.
