Medical Coding SpecialistKey Responsibilities:Analyze patient charts, physician notes and discharge summariesEnsure documentation is complete and accurate before codingTranslate diagnoses and procedures into standardized codes using: ICD-10-CM (diagnoses)CPT (procedures)HCPCS (supplies/services)Make sure codes correctly represent services providedFollow healthcare laws and regulations (HIPAA, Medicare/Medicaid guidelines) Company PoliciesPrevent coding errors that could lead to claim denials or auditsStay updated on coding changes and updatesWork with billing teams to submit coded claims to insurance companiesVerify claim accuracy to ensure proper reimbursementFix rejected or denied claims by reviewing and correcting codesCommunicate with healthcare providers and insurance companiesProtect sensitive patient informationFollow strict privacy and data security standardsClarify documentation with physicians when neededCollaborate with billing and administrative teamsRegularly update knowledge of coding systems and regulationsMaintain certification through continuing educationPerform coding audits and compliance reviewsTrain new coders or staffSpecialize in areas like inpatient, outpatient, or specialty coding All other duties as assigned.Post charges into billing system within 24-48 hours and completes other billing functions under direction of supervisorIdentifies possible billing errors that might prevent the claim from being processed on the insurance company levelVerifies patient coverage and demographic information, draws conclusions, and corrects billing errors or other Claim issuesContributes to improvement of billing procedures and processesEscalates problem claims to management as required by circumstancesCommunicate effectively with clinic/administrative personnel, assigned coder and CLT-TeamCompletes assigned training and educationMinimum Requirements:High School diploma or GED equivalent Medical billing and coding training program -Certificate or associate degree Required Demonstrates experience with medical billing, CPT and ICD-10 codes, Revenue Cycle Ability to exercise discretion on sensitive and confidential matters Demonstrate ability to communicate effectively on the phone, in writing and via email Demonstrates computer skills with data entry software, Microsoft Word, and Excel Institutional accreditation and degree obtainment will be verified upon hire Knowledge of medical terminology, anatomy, and healthcare regulations insurance, banking, hospital medical office or other experience with extensive customer service contact One or more years of billing and coding experience in medical field- required in the medical field. Bilingual PreferredEqual Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.