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Coding Specialist II

2 months ago

Elkridge, United States MEDSTAR HEALTH Full time
Job Description

General Summary of Position

MedStar Health is currently seeking a CPC Coding Specialist with at least 3 years of coding experience to join our MedStar Ambulatory Surgery Center team   This is a full time, Monday-Friday position, with a hybrid schedule after the successful completion of the 90-day probationary period (training period is full time on-site).  Hybrid schedule includes working remotely on Mondays & Fridays and working on-site Tuesday - Thursday. Business office is located in Elkridge, Maryland. 

The Coding Specialist II will code and abstract primarily Ambulatory Surgery records and other outpatient records using ICD-10-CM, CPT-4 and other applicable patient classification schemes.


Primary Duties and Responsibilities

  • Reviews medical record documentation to identify diagnoses and procedures. Assigns correct diagnostic, procedural codes, and appropriate modifiers using standard guidelines and automated encoding software maintaining departmental accuracy standards.
  • Maintains implant log and properly identifies implants and charge for accurate and timely claim submission.
  • Contacts physician when conflicting or ambiguous information appears in the medical record. Adheres to the MedStar Coding Query Policy and procedure.
  • Performs timely and accurate charge entry into billing system. Reconciles charges and performs batch processing. Submits claimsand works rejects for claims submission. Resubmits/refiles and appeals rejected claims, as necessary.
  • Adheres to contractual requirements of Medicare, Medicaid, and managed care plans.
  • Abstracts and ensures accuracy of diagnoses, procedure, patient demographics, and other required data elements.
  • Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations.
  • Adheres to all compliance regulations and maintains annual compliance education.
  • Maintains continuing education and seeks ongoing education to improve job performance. Maintains credentials as required for job classification.
  • Meets established Quality standards as defined by policies.


 

Minimum Qualifications
Education

  • High School Diploma or GED required
  • Associate degree and/or Bachelor's degree preferred or
  • Medical Coding Certification with successful completion of medical terminology, anatomy, physiology, and coding courses in ICD-10-CM and CPT-4 required

Experience

  • 3 years ASC (Ambulatory Surgery) coding experience and experience with clinical information systems (3M grouper, electronic medical records, computer assisted coding, coding books) required

Licenses and Certifications

  • Certified Professional Coder (CPC) required

Knowledge, Skills, and Abilities

  • Verbal and written communication skills.
  • Basic Computer skills


This position has a hiring range of $23.19 - $38.49