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Coder Specialist II

Coder Specialist II

Job ID 
2017-1432
Location 
US-TX-Dallas
Function 
Revenue Cycle Management
Employment Status 
Full-Time

More information about this job

Overview

Medical Coders are responsible for properly coding provider encounters. The coding specialist, level II is a mid-level coder certified by a recognized professional organization. The coder performs all coding functions assigned to a mid-level, more experienced coder based on their knowledge. They are highly proficient with a solid understanding of the billing workflow. Performs all coding functions and assists other areas in the billing department as assigned by the manager.

Responsibilities

  • Accurately code from available documents using current CPT, ICD-10, ASA and HCPCS codes as appropriate
    • Capture all billable charges
    • Capture all quality reporting measure elements
  • Review billing records for supporting documentation as needed for accurate coding and to maximize revenue
    • Identify and split bill cosmetic or case rate cases as needed
  • Review or facilitate review of facility medical records for supporting documentation as needed and as available for accurate coding and to maximize revenue
  • Understand the importance and the process of holding a claim as needed until sufficient information can be obtained for proper billing and to maximize reimbursement
    • Contacts providers as needed
  • Review charges that are sent back from the billing department for additional information and make necessary corrections
  • Assist in research of coding denials or inquiries from the collections staff. Perform coding related charge corrections as needed.
  • Assist in providing estimates for services, as required
  • Maintain certification CEU requirements

Qualifications

JOB REQUIREMENTS (Knowledge, Skills and Abilities):

        • Knowledge of CPT, ICD-9, ASA and HCPCS coding.
        • Knowledge of all payer rules and regulations.
        • Knowledge of medical terminology and anatomy
        • Ability to multi-task and prioritize needs in order to meet timelines
        • Knowledge of organization policies, procedures and systems.
        • Skill in computer applications including MS Word, MS Excel.      
        • Skill in verbal and written communication.
        • Skill in gathering and reporting information.
        • Ability to work effectively with staff, physicians and external customers.
        • Must have a pleasant disposition and be a team player
        • Ability to work independently with limited supervision.
        • Must report to work consistently, on time and for expected duration
        • Ability to read, write and speak English

EDUCATION/TRAINING/EXPERIENCE:

    • High school graduate or equivalent
    • Associate degree preferred
    • Current CPC or CCS-P certification required
    • 2-5 years coding experience

 

 

 



 

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