Coding Specialist

TITLE : Coding Specialist DEPARTMENT : Central Billing Office STATUS : Full-Time: 40 hours per week; Day shift. Hours may be adjusted in response to workload demands; Low census may be utilized in accordance with hospital policy.

JOB SUMMARY

Under the supervision of the CBO Billing Manager, performs coding and abstracting of procedures and treatments associated with the Healthcare Practices. Performs quantitative and qualitative analysis of documentation according to licensing and accrediting agencies. Accepts responsibility for assigned insurance group or sector.

Reviews patient account files to ensure accuracy and completeness, review, research and follows up on rejected claims for coding related issues, answers coding related inquiries from healthcare practices and/or other customers and assists in the preparation of coding reports. Performs regular documentation audits. Performs other related duties as necessary and any special projects as assigned.

QUALIFICATIONS/POSITION REQUIREMENTS: High School Diploma or Equivalency, required. One-Two years ICD 10 CM and CPT 4 (HCPCS) coding experience, preferred. Experience with medical billing/insurance processing, preferred. Procedure and diagnostic coding experience, preferred. Medical Terminology course, required. Anatomy and physiology course, preferred.

Certification as a Certified Professional Coder (CPC) through the AAPC or other approved certifying agency within 6 months of hire. Able to comprehend verbal and written instructions and procedures and accuracy in grammar, spelling, and punctuation. Supports and contributes to the total hospital system by maintaining a hospital-wide perspective and serving on department/hospital committees.

Knowledge of/or ability to learn to use various office equipment including computer, internet, printers, software systems, and multi-line phone system. Influences the direction of the Patient Financial Services department by maintaining a positive perspective/attitude. Ability to maintain concentration despite interruptions, Capable of functioning under stressful situations.

Demonstrates strong interpersonal skills and effective communication in dealing with customers and hospital personnel. Good sight and hearing skills required to handle inquiries and process claims. Equal Opportunity Provider and Employer: Mc. Kenzie Health System is an equal opportunity provider and employer. All qualified applicants receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

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