Medical Coding Specialist

📋 Description

• Evaluates, analyzes, and interprets provider documentation concerning the selection of procedure and diagnosis codes.

• Conducts audits of provider coding and documentation to offer suggestions for enhancements and improvements.

• Maintains a close collaborative relationship with assigned providers and medical office, regularly consulting the provider when coding discrepancies occur.

• Investigates any coding inquiries from the provider or medical staff and shares findings with them.

• Reviews hospital, clinical, and surgical documentation along with assigned diagnosis and procedure codes, processing charges within the Epic system.

• Identifies inconsistencies between the provider's code selection and medical record documentation; makes necessary corrections and educates the provider on findings.

• Exhibits comprehensive knowledge of official coding guidelines established by the American Medical Association (AMA), the Center for Medicare & Medicaid Services (CMS), and contracted payers.

• Collaborates with billing partners to create efficient coding processes and to investigate denials.

• Addresses customer concerns through coding reviews requested by other departments.

• Facilitates provider coding orientation and education sessions, documenting all information shared.

• Maintains extensive knowledge of Epic ambulatory and hospital modules.

• Works collaboratively as part of a team to meet productivity goals.

⛳️ Requirements

• High School diploma or equivalent.

• A minimum of two years of experience in coding professional services across multiple specialties.

• Certification as a Professional Coder (CPC) or another equivalent coding certification is mandatory.

• Strong problem-solving abilities.

• Excellent written, oral, interpersonal, and communication skills.

• Proficient analytical skills.

🏝️ Benefits

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Life & Disability Insurance.

• FSA/HSA Options.

• Generous, accruing paid time off.

• Paid Parental and caregiver leave.

• Opportunities for career advancement and educational growth.

• Tuition and certification reimbursement.

• Well-being Programs.

• Employee Discounts.

• On-Demand Pay.

• Financial Education.

• Annual recognition and awards events.

• Partner appreciation days.

• Discounts for family entertainment and attractions.

• Opportunities for community service and improvement.