Medical Coding Specialist (Certified)

JOB TITLE: Medical Coding Specialist (Certified)

DEPARTMENT: Business Office

GENERAL SUMMARY OF DUTIES: This is a nonexempt position. Responsible for coding and posting all billable services by Alaska Heart & Vascular Institute providers. Accurately assign CPT and ICD-10 codes by analyzing and abstracting information from dictated reports to achieve timely billing. Ability to maintain strict confidentiality. Able to set priorities and manage time in a fast paced, high-volume environment, while exercising critical thinking skills. Perform audits as needed. Stay current and updated with coding guidelines and payer regulations. Flexible for overtime and weekend work.

ESSENTIAL FUNCTIONS:

1. Clean claim submission for all billable services performed by Alaska Heart & Vascular Institute (AHVI) providers
2. Research all information to insure a complete and accurate coding and billing process
3. Investigate coding problems and formulates solutions, following current coding and billing guidelines and regulations, payer specific requirements and AHVI policies and processes
4. Accurate assignments of CPT, ICD-10, HCPCS codes and modifier, per current coding and billing guidelines and regulations
5. Research medical necessity denials and prepare/submit appeals with appropriate paperwork and/or records, in timely manner

INTERPERSONAL COMMUNICATION REQUIREMENTS:

Commitment to the Alaska Heart and Vascular Institute standard for interaction with patients, visitors, physician offices, hospitals or agencies and coworkers is required. Employees of Alaska Heart & Vascular Institute will maintain a consistent standard of interaction with others as follows:

• Demonstrates a professional, helpful and friendly attitude, which is directed toward and focused on providing quality patient care and satisfaction in a cooperative manner.
• Maintains a professional and pleasant demeanor and appearance, which is reflective of a positive representation of the Alaska Heart & Vascular Institute.

This job description is intended to provide basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.