Description:
Medical Coding Specialist
Join the Winning Team!! A Medical Coding Specialist wanted for a busy medical practice. The coding specialist is responsible for ensuring accurate coding for vascular services, specifically to lower extremity veins. Candidates should have a positive attitude, strong work ethic, and be a team player.
Hours: Monday-Friday 7:30am - 4:30pm
Essential Functions:
- Review clinical documentation to ensure the appropriate coding (CPT codes, diagnosis codes, modifiers, etc)
- Ensure all codes meet federal, state, and insurance-specific guidelines
- Submit electronic claims to clearinghouses and insurance carriers daily
- Monitor client action worklist
- Communicate with payers via portals or phone to resolve outstanding payment issues
- Post insurance and patient payments accurately to the practice management system
- Maintain strict adherence to HIPAA regulations regarding patient data privacy
- Audit medical records regularly to ensure proper coding & documentation supports the service billed
- Attend meetings regularly
- Other duties as assigned
Successful Candidate Should Possess:
- Experience: Minimum 1 year of experience in vascular - specific to lower extremity vein and arterial medical billing/coding
- Certification: CPC (Certified Professional Coder) or CCS (Certified Coding Specialist) preferred
- Knowledge: Deep understanding of EOBs, RCM systems, and medical terminology specific to billing/coding
- Software: Proficiency preferred with Advanced MD, Availity, major insurance portals
- Analytical Thinker with the ability to spot patterns in denials to suggest process improvements with payer specific coding
- Persistence with a "detective" mindset to track down why a claim was rejected, find a resolution, and suggest an action plan to avoid future errors
- Attention to Detail for high accuracy with little to no error in data entry
- LCD Review/Monitoring to proactively check the Medicare and Commercial Payer Coverages for new and/or revised policies to ensure compliance
*Background screening and drug testing required
Requirements: