Billing Support Specialist - Coder

Our Coding Specialist is responsible for duties that supports the company’s overall Operations and Client Services by efficiently and effectively processing account data needed for the Revenue Cycle process and delivering results

Coding specialist Duties and Responsibilities:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information and significant reportable elements.
• Researches and analyzes data needs for reimbursement.
• Analyzes medical records and identifies documentation deficiencies.
• Serves as resource and subject matter expert to other coding staff.
• Reviews and verifies documentation supports diagnoses, procedures, and treatment results.
• Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
• Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines.
• Handles special projects as requested.
• Communicates with providers on changes in documentation requirements.

Performance Requirements:

Knowledge:

• Maintain knowledge and follow HIPAA regulations
• Knowledge of business office procedures.
• Knowledge of Microsoft Word, Excel, and Outlook.

Skills:

• Ability to use email, search engine, Internet; ability to effectively use payer websites.

Abilities:

• Ability to multi-task.
• Ability to read, understand and follow oral and written instruction.
• Ability to communicate tactfully and effectively with patients, employees, and providers.
• Ability to run standard office equipment.

Work Environment:

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, and fax machines.

Physical Demands:

• Requires mobility, frequent walking, standing, and sitting, some bending, stooping, and stretching and periodic lifting of up to 50 lbs.
• While performing the duties of this job, the employee is regularly required to converse and hear
• Requires normal (corrected) vision
• Requires coordination and manual dexterity sufficient to operate office equipment

Position Type and Expected Hours of Work:
This is a full-time or part-time position, Monday through Friday position. Shifts will be assigned in advance but may vary depend on a Company Schedule. The hours will typically range from 8:00am to 5:00pm. No overnight travel is expected for this position.

Required Education and Experience

• Coding Certificate as a Certified Professional Coder
• High School Diploma or equivalent
• Two years of medical insurance background.
• EMR experience
• Preferred experience with various billing systems, such as GE Centricity CPS, Intergy and Caretracker.

Please note this job description is not designed to cover or contain a comprehensive listing of all activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.