Coder Specialist II

US-TX-Houston
Job ID
2017-1623
Function
Revenue Cycle Management
Employment Status
Full-Time

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 required
  • 2 – 5 years coding experience  
  • Meets or exceeds expectations

 

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