
Medical Coding Specialist
2 weeks ago
Job Summary:
As a Medical Coding Specialist, you will play a pivotal role in ensuring accurate and timely submission of medical claims.
This is an opportunity to make a significant impact on our organization's financial operations and the quality of service we provide to our clients.
Key Responsibilities:
- Analyze and abstract medical information from patient records for physician/NP visits and home health start-of-care visits.
- Accurately code diagnostic and procedural information in compliance with ICD-10, CPT-4, HCPCS, MS-DRGs, APCs, and POAs, following national coding guidelines.
- Document essential patient information, including medication history, medical history, active diagnoses, and preventive care screens.
- Consult with medical providers to identify potential missing HCC diagnoses and ensure accurate documentation and code assignment.
- Review claims data to verify accurate coding and billing for all services and procedures.
- Collaborate with healthcare professionals to improve documentation, coding accuracy, and compliance.
- Stay current with changes in coding regulations and provide education and training as needed.
- Participate in Quality Assurance/Quality Improvement initiatives.
- Develop and maintain effective communication with clinical staff, insurance plans, and hospital systems.
- Assist with billing and credentialing tasks as needed.
- Maintain confidentiality and safeguard patient information.
Required Skills and Qualifications:
- Background in a medical field.
- Proficient in the English language, both written and verbal.
- Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCS-P) from AAPC or AHIMA.
- At least 2 years of experience in medical coding and billing, with a focus on physician and home health coding.
- Knowledge of medical terminology, anatomy, and physiology, as well as coding systems and guidelines.
- Strong analytical skills and attention to detail.
- Proficiency with coding software, tools, and EHR systems.
- Knowledge of regulatory requirements and compliance standards.
- Excellent communication skills and ability to collaborate with healthcare professionals.
Benefits:
- Opportunity to work in a dynamic and fast-paced environment.
- Professional growth and development opportunities.
- Competitive compensation and benefits package.
Additional Information:
The ideal candidate will possess excellent analytical and communication skills, as well as the ability to work effectively in a team environment.
They will be proficient in coding software and EHR systems and have a strong understanding of medical terminology and coding guidelines.
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