Medical Coding Specialist

1 week ago

Metairie, United States i3 Verticals Management Services, Inc. Full time
Job DescriptionJob Description

JOB TITLE: Medical Coding Specialist
DEPARTMENT: Healthcare Vertical: ACS
REPORTS TO: Assistant Manager and/or Manager
SUPERVISORY RESPONSIBILITIES: no
JOB LOCATION: Metairie, LA 70001
TRAVEL: no

SUMMARY OF POSITION: Medical Coding Specialists work weekdays in our comfortable friendly office environment using professional accurate communication and computer skills to handle various aspects of healthcare coding, charges, coding-related claims work, and revenue collection on behalf of Healthcare Providers. Relevant education, experience or knowledge in coding is required. A good work ethic, reliability, and willingness to learn and grow with our company are essential.

PRIMARY RESPONSIBILITIES: Coding Team Members are assigned to one or more healthcare provider accounts and are asked to complete various tasks specifically related to coding, within the scope of our Revenue Cycle Process. Tasks may include but are not limited to:
• Assigning and sequencing appropriate CPT, HCPCS, CDT, ICD-10, and other codes along with appropriate and applicable modifiers
• Review of medical and clinical documentation, CCI, and Global Edits to verify correct coding
• Filing of electronic or paper claims including those requiring special handling, additional info, or attachments
• Assisting with coding-related electronic claim errors or rejections
• Use of billing software and insurance web-portals to respond to coding-related payer denials including making any appropriate claim corrections or adjustments, providing additional information as requested or needed, and following through until claims are resolved
• Maintaining current working knowledge of best coding practices as well as payer and regulatory changes by accessing resources such as NCD’s, LCD’s, coding policies, and other professional resources, as well as participating in continuing education
• Communication with other team members and managers to contribute to resolution of issues, operational efficiencies, and the overall goal of AR resolution
• Maintaining data integrity, following company policies and guidelines, strict adherence to HIPAA laws
• Assignments may change based on account needs and employee strengths within the scope of our overall Revenue Cycle Process.

MINIMUM QUALIFICATIONS (EDUCATION AND EXPERIENCE):
• High School diploma or GED
• 1-3+ years coding experience

PREFERRED QUALIFICATIONS (EDUCATION AND EXPERIENCE): These skills are a plus, but not initially required, and will be taught, learned, and may be used as a measurement of progression during the initial months of employment.

• Nationally recognized coding credential including, but not limited to CPC, COC, CCS, CCS-P, RHIA or RHIT through AHIMA/AAPC.
• Prefer that the required 1-3+ years coding experience be in multispecialty professional, inpatient, outpatient, and ambulatory arena
• Understanding of CPT, HCPCS, CDT, and ICD-10 codes as well as medical terminology.
• Knowledge of medical business and revenue cycle operations
• Functioning knowledge of Office Applications (Word, Excel, Email etc.)
• Strong written and verbal communication skills with ability to communicate clearly and concisely to coworkers, clients, patients, and others
• Ability to read, understand, and follow oral and written instructions
• Ability to establish and maintain effective working relationships with other team members, as well as supervisors, managers, clients, staff, and providers
• Ability to multi-task independently and/or with a team while maintaining respect and professionalism
• Ability to prioritize workload and manage multiple responsibilities in a highly organized, efficient, and effective manner

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