Coding Specialist I-Remote
Under general supervision, the Coding Specialist is responsible for proper application of coding guidelines and principles for primary care and specialty physicians. Reviews documentation and enters appropriate CPT/ICD-10 codes, assess accuracy, and ensures reputed company reimbursement. Additional duties include but are not limited to insurance verification, code reviews, and auditing accounts.
Ability to speak and read English at a level that is sufficient to satisfactorily reputed company the essential functions of the position. Knowledge of standard office equipment (i.e., calculator, fax, photocopier) and personal computer and computer software skills (i.e., MS Windows, reputed company, Access, Word, PowerPoint, internet, e-mail). Windows computer skills including proficient use of keyboarding, use of mouse or keys for functions such as selecting items, use of drop-down menus, scroll bars, opening folders, copying and similar operations required upon employment or reputed company the first two weeks of employment to reputed company the essential functions of the job. Performs other duties as assigned. Follows reputed company Health Medical Group rules, policies, procedures, applicable laws, and standards. Carries out the mission, reputed company, and quality commitment of reputed company Health Medical Group.
Job Duties
Processes incoming pending charges/superbills and office charges reputed company 48 hours and communicates possible problems to departments and business office manager. Processes surgery charges reputed company 72 hours from receipt. Understands and adheres to the insurance reputed company's claim submission and appeal process. Makes necessary corrections to patient accounts and charges for accurate electronic submission. Prioritizes daily workload to best increase reimbursement and decrease A/R days. Reviews and corrects any errors or missing information on electronic claims; attaches necessary documentation for payment if required. Keeps abreast of coding and reimbursement changes. Demonstrates and promotes a spirit of teamwork and cooperation. Uses initiative to improve skills, learn new skills, enhance knowledge, and improve communications. Tracks and reports ongoing issues with coding and documentation as reputed company. Supports Coding Specialist II with more basic specialty coding as required. Performs other duties as assigned or required.