Medical Coding Specialist

SUMMARY:  Full Time Medical Coding Specialist performs diagnosis and procedural coding to individual patient medical records for data retrieval, analysis, and claims processing. This is a hybrid position initially required in office presence and the opportunity to work partially remote when workflow allows.

DUTIES AND RESPONSIBILITIES:

• Reviews the patient ‘s medical record for accurate and complete documentation prior to coding.
• Works closely with the physician coordinator regarding discrepancies found in patient’s record prior to claim submission
• Codes for assigned physicians, locations, and/or departments from review of medical record documentation.
• Applies knowledge of current coding and billing requirements to assure claims are submitted correctly
• Brings identified concerns and trends to the manager/team lead for resolution.
• Reviews coding and billing worklists and resolves claim  rejections.
• Enters patient demographic information and verifies patient insurance coverage

QUALIFICATIONS:

• Working knowledge of CPT and ICD10 coding
• Medical coding certification (AAPC or AHIMA) preferred or currently in progress
• Minimum 2 years’ experience in medical billing and coding
• Excellent attention to detail and follow up
• Knowledgeable of payer rules and requirements for both coding and eligibility checking
• High school diploma or general education degree
• Computer skills required: Efficient data entry skills for both speed and accuracy

JOB TYPE / WORK SCHEDULE: 

• This is a hybrid position initially required in office presence 
• Standard office hours, Monday – Friday 
• Bilingual (Required)

Competitive pay and a full benefits package, including 401(k), health, dental, vision, life, and disability insurance.