Coding Denial Specialist is responsible for investigating and resolving third-party insurance coding denials and edits. The Coding Denial Specialist also assist in optimizing reimbursement by thoroughly researching and taking the appropriate action to resolve all coding denials in a timely manner.
We are seeking 3 skilled and detail-oriented Professional ED Coders to join our team. The ideal candidate will have a strong background in accurately assigning appropriate CPT-4, ICD 10 CM/PCS and HCPCS codes for emergency department services. This position plays a crucial role in ensuring compliance with coding guidelines and optimizing revenue cycle management.
Responsibilities:
• Assign ICD-10-CM/PCS, CPT-4 and HCPCS codes for diagnosis and Procedures for emergency department coding Including coding Medicaid encounters and Injection & Infusion coding
• Review medical records to ensure accuracy and completeness of coding.
• Abstract pertinent information from patient records.
• Collaborate with healthcare providers and other stakeholders to clarify documentation and ensure accurate code assignment.
• Adhere to official coding guidelines, CMS regulations, and compliance policies.
• Maintain knowledge of current trends and updates in coding practices and regulations.
• Participate in coding audits and documentation improvement initiatives.
Requirements:
• US based coders only
• Minimum 2 years of professional experience is required, specifically in ED coding.
• Previous experience in Coding Medicaid encounter, Injection and Infusion coding.
• Certification- CPC from AAPC (CPC-A’s are not being considered for these roles)
• Strong understanding of medical terminology, anatomy, physiology, and disease processes.
• Proficiency in ICD-10-CM/PCS, HCPCS and CPT coding principles.
• Attention to detail and accuracy in coding and abstracting information.
• Ability to work independently and collaboratively within a multidisciplinary team.
• Excellent communication skills to interact effectively with healthcare providers and coding staffs
• Commitment to maintaining confidentiality of patient information and compliance with HIPAA regulations.
• Advanced knowledge with electronic health records (EHR) systems and coding software.
• Experience with coding audits and coding compliance reviews.
Full time positions include full benefits including:
· 20 PTO days per year, pro rated the first year
· Medical, dental, life, disability, vision
· 401k
· Paid holidays
· Expense reimbursement
· AAPC or AHIMA dues paid
· 12-24 CEU’s per year