Coding Specialist II

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Extract and assign codes for physician professional services and diagnoses from medical records.

• Code intricate encounters, such as anesthesia, surgical services, invasive procedures, drug infusions, evaluation and management services, bedside procedures, and diagnostic tests.

• Adhere to official coding guidelines and assign CPT, ICD10 codes, and appropriate modifiers.

• Capture charges through procedure schedules, operating room logs, and reconciliations with clinical systems.

• Provide constructive documentation feedback to physicians.

• Maintain up-to-date coding reference materials.

• Educate physicians and staff on documentation, billing, and coding practices.

• Review and disseminate updates on billing and coding guidelines.

• Participate in meetings and educational roundtables, conveying information to physicians and staff.

• Address pre-accounts receivable and Optum coding edits.

• Identify recurrent documentation and system-related issues.

• Correct inaccurately billed services, include unbilled services, furnish missing data, and update codes, modifiers, and MBO tracking codes.

• Collaborate with Patient Accounting, PB Billing, Revenue Cycle, and other departments on coding and reimbursement matters.

• Draft appeal letters and assist in resolving incorrect claims and denials.

• Gather documentation for Revenue Cycle and Account Inquiry Unit personnel.

• Provide code and modifier details for denial appeals and liaise with providers for peer-to-peer reviews when necessary.

• Meet the established productivity and quality standards for coding.

• Carry out other assigned responsibilities.

⛳️ Requirements

• RHIA, RHIT, CPC, or CCS certification is mandatory.

• 0 to 2 years of experience in a relevant position.

• Minimum 94% accuracy required on the organization's coding assessment.

• Bachelor’s degree or Associate’s degree in a CAHIIM-accredited Health Information Management program is preferred.

• Prior experience in physician coding is advantageous.

• Familiarity with CPT and ICD10 coding, HCPCS procedural codes, disease processes, anatomy and physiology, and pharmacology.

• Capability to assign CPT and ICD10 codes and modifiers with a minimum of 95% accuracy.

• Current knowledge of coding regulations and updates.

• Proficient computer skills, including Microsoft Office, Outlook, and data entry.

• Ability to interpret data for informed decision-making.

• Commitment to maintaining confidentiality.

• Strong verbal and written communication skills.

• Ability to manage multiple priorities and navigate challenging situations.

• Keen attention to detail and flexibility.

• Successful completion of the required background check and authorization/disclosure process.

🏝️ Benefits

• Competitive benefits package.

• Tuition reimbursement opportunities.

• Loan forgiveness options.

• 401(k) matching program.

• Lifecycle benefits.

• Support for physical, emotional, and financial wellness.

• Protection against unexpected life events.

• Sign-on bonus may be available for this position (subject to eligibility restrictions).