Coding Education Specialist

2 weeks ago


South Portland, United States InterMed, P.A. Full time
Job DescriptionJob DescriptionESSENTIAL FUNCTIONS
  • Maintain current knowledge of coding guidelines and applies knowledge to determine if coding and documentation meets regulatory guidelines and audit standards
  • Perform audits of medical record documentation for coding accuracy based on CPT, HCPCS, ICD-10 guidelines, private payer and CMS guidelines as well as InterMed Policies as appropriate; Escalate identified documentation/coding errors for review by clinical coding educator
  • Select samples of medical records for internal and external audit and document results, based on Coding Compliance Plan
  • Adjust coding as necessary, documenting rationale for coding decisions, comparing auditor findings against those generated from the provider, identifying and recording discrepancies, and recording the rationale for changes in coding decisions
  • Research coding guidelines and documentation requirements
  • Coordinate communication of coding audit results in collaboration with the clinical coding educator
  • Develop coding education materials in collaboration with the clinical coding educator
  • Maintain documentation of audits performed, such as to medical record samples, coding error rationale, accuracy scores and due dates in accordance with the Coding Compliance plan
  • Monitor for changes and updates to payer and CMS policies related to coding and documentation
  • Work collaboratively, seeking additional opinion(s) when needed
  • Other duties as assigned

JOB REQUIREMENTS
  • Associates Degree, or equivalent experience, required
  • Certified Professional Coder (CPC) required; Certified Officer of Compliance (COC) or Certified Risk Coder (CRC) preferred
  • Knowledge of the revenue cycle, medical terminology
  • Knowledge of billing, coding, insurance practices, and the ‘language’ associated with each
  • Excellent interpersonal as well as written and verbal communication skills
  • Strong Microsoft Office Suite (Including Word, Excel and Powerpoint) and EMR (eClinicalWorks) skills
  • At least four years of revenue cycle experience required

InterMed is an equal opportunity workplace and prohibits discrimination or harassment of any kind. We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, gender identity and/or expression, sexual orientation, marital status, disability, veteran status, or any other basis protected by applicable federal, state or local law.



  • South Portland, United States InterMed, P.A. Full time

    Job DescriptionJob DescriptionESSENTIAL FUNCTIONSKeep current with all coding systems used by InterMed including CPT-4 and ICD 10Work closely with departments to optimize coding, reduce denials, and ensure compliance with all coding rules and guidelines.Provide consultative services to physicians and staff on complex coding issues and problem areas...


  • South Portland, United States InterMed, P.A. Full time

    Job DescriptionJob DescriptionESSENTIAL FUNCTIONSKeep current with all coding systems used by InterMed including CPT-4 and ICD 10Work closely with departments to optimize coding, reduce denials, and ensure compliance with all coding rules and guidelines.Provide consultative services to physicians and staff on complex coding issues and problem areas...

  • CODING SPECIALIST 2

    Found in: Careerbuilder One Red US C2 - 4 days ago


    Portland, OR 97228, USA, United States OHSU Full time

    Department OverviewThis level 2 coding position provides support to the Department of Neurology. As the Coding specialist 2 you will be responsible for coding of physician's fees. This position requires experience in coding and requires a current certification with AAPC or AHIMA. You will review, abstract, and code treatment and procedure information from...

  • CODING SPECIALIST 2

    Found in: Careerbuilder One Red US C2 - 4 days ago


    Portland, OR 97204, USA, United States Oregon Health & Science University Full time

    This level 2 coding position provides support to the Department of Neurology. As the Coding specialist 2 you will be responsible for coding of physician’s fees. This position requires experience in coding and requires a current certification with AAPC or AHIMA. You will review, abstract, and code treatment and procedure information from outpatient medical...

  • Remote Medical Coding Specialist

    Found in: Resume Library US A2 - 3 days ago


    Greenville, South Carolina, United States Healthpro Heritage, LLC Full time

    Overview: General Description The Medical Coding Specialist assists with: Implementation, tracking and maintenance of claim coding denials to ensure optimal collections related to claims denied as a result of lack of medical necessity, inadequate ICD-10 coding or other clinical errors. Identification of denied claims and the initiation and coordination...


  • Portland, United States ProTrain Full time

    Job DescriptionJob DescriptionPOSITION OVERVIEW:ProTrain is currently recruiting for an experienced Live Online instructor with experience teaching Medical Billing & Coding.Candidates must have experience teaching in a classroom or/and in a synchronous environment, as well as have a minimum of 3 years in Medical Billing & Coding.This is a part time;...


  • Portland, United States ProTrain Full time

    Job DescriptionJob DescriptionPOSITION OVERVIEW:ProTrain is currently recruiting for an experienced Live Online instructor with experience teaching Medical Billing & Coding.Candidates must have experience teaching in a classroom or/and in a synchronous environment, as well as have a minimum of 3 years in Medical Billing & Coding.This is a part time;...

  • Trainer I

    2 weeks ago


    Portland, United States MaineHealth Full time

    Summary Position Summary 100% remote job opportunity The Trainer I duties are to prepare curricula, plan assignments, design assessments in order to measure the success of the training provided, evaluate progress, provide course materials, and answer ad hoc questions in the areas of Coding for Provider Based Office settings and/or Hospital Based...


  • South Portland, United States InterMed, P.A. Full time

    Job DescriptionJob DescriptionState of Maine Residency is required.Essential FunctionsConducts prospective and retrospective review of the medical record to ensure accurate, complete, and specific documentation that reflects the current clinical complexity of the patientCollaborates with Coding and Coding Education Staff to:Provide education to Providers and...

  • Insurance Specialist

    Found in: Talent US C2 - 2 weeks ago


    South Bend, United States Beacon Health System Full time

    Summary Reports and works under the direction of the Department Director/Manager/Supervisor. Reviews patient records using medical coding procedures. Verifies insurance eligibility and ensures the patients healthcare benefits cover the required procedures. Assists in educating patients regarding insurance. Coordinates daily administrative activities and...

  • Mobile Device Support Specialist with Security Clearance

    Found in: Dice One Red US C2 - 2 weeks ago


    South Portland, United States MCS of Tampa, Inc Full time

    MIPS/MCS is hiring for a Mobile Device Support Specialist at the Portsmouth Naval Shipyard in Kittery, Maine. This is a full-time, permanent position with benefits. The Mobile Device Support Specialist must demonstrate the ability to provide customer service and basic Mobile Device troubleshooting skills to DoD personnel. The Mobile Device Support Specialist...


  • South Portland, United States Maine Health Full time

    Full Time 265 Western Ave Clerical/Administrative Support Day Shift * Position Summary * Under the general direction of a Director or Senior Director, the Administrative Specialist II performs a combination of administrative, project, and secretarial work. The position is responsible for coordinating the day to day activities of the assigned department...


  • South Portland, United States Maine Medical Center Full time

    Summary Position Summary Under the general direction of a Director or Senior Director, the Administrative Specialist II performs a combination of administrative, project, and secretarial work. The position is responsible for coordinating the day to day activities of the assigned department and administrative operations while working closely with...


  • South Portland, United States Concentra Full time

    Overview Are you ready to take your career to new heights? At Concentra, you will be a vital member of our patient care team and play a crucial role in providing exceptional care to our patients. Our mission is to improve the health of America's workforce, one patient at a time. Join us at Concentra and see how your clinical competency and compassion can...

  • Benefit Specialist II or III, DOE

    Found in: Appcast US C2 - 3 days ago


    Portland, United States Cambia Health Solutions, Inc Full time

    Benefit Specialist II or III, DOERemote opportunity for residents of Oregon, Washington, Idaho and Utah Primary Job PurposeThe Benefit Development Specialist II utilizes knowledge of current and proposed healthcare regulations and potential benefit offerings to analyze, develop, implement and monitor new or existing benefits in order to ensure benefit...

  • Clinic Services Specialist 2

    Found in: Talent US C2 - 2 weeks ago


    Portland, United States Multiple Locations - Portland Metro Full time

    Overview Clinic patients arrive with questions, concerns and hesitations. You put them at ease with a calm and friendly demeanor that exemplifies the Legacy mission. Physicians and other staff know they can rely on you to provide the best possible patient experiences, which is why you’ll have an opportunity to mentor others as you grow with Legacy. ...

  • Billing Specialist

    3 days ago


    Portland, United States Medasource Full time

    *HME/DME Billing Specialist**6 month CTH**Remote or Onsite if local**Providence Health and Services**Responsibilities:** Insurance Verification: Verifying insurance coverage for patients to ensure that the prescribed medical equipment is covered by their insurance plan.* Claims Processing: Submitting claims to insurance companies accurately and in a timely...


  • Portland, United States The Employee Connect Full time

    Job DescriptionJob DescriptionThis is an experienced coding position focused on review of documentation and coding. This position will ensure accurate coding and claim submission and conformity to applicable guidelines and regulations.Essential Responsibilities:Perform documentation and coding reviews within work queues across various specialties as...


  • Portland, United States The Employee Connect Full time

    Job DescriptionJob DescriptionThis is an experienced coding position focused on review of documentation and coding. This position will ensure accurate coding and claim submission and conformity to applicable guidelines and regulations.Essential Responsibilities:Perform documentation and coding reviews within work queues across various specialties as...


  • South Plainfield, United States Brenntag Full time

    Our team in South Plainfield currently has an opening for a Industry Market Specialist Pharma YOUR ROLE & RESPONSIBILITIES Job Summary: To assist assigned Market Managers in their portfolio of key suppliers across North America with a focus on promotion and profitable growth, keeping in mind Brenntag corporate goals as well as supplier target...