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Coding Specialist II
4 weeks ago
Full-time, 40 Hours/Week
Day Shift
Remote (Applicant must reside in OH or PA at the time of offer)
Summary:
The Coding Specialist II provides training, mentoring, and leadership to Coding Specialist I employees.
Responsibilities:
1. Provides training, mentoring, and leadership to Coding Specialist I employees.
2. Provides daily reconciliation of all clinical services provided. Performs coding function through review and analysis of electronic, paper, or hybrid patient medical records and assigns CPT, HCPCS and ICD codes accordingly, prior to charge entry.
3. Reviews EPIC charge review work queues daily for coding/billing errors and makes necessary and appropriate coding changes based on medical documentation for both professional and technical charge revenue, prior to charge entry.
4. Conducts prospective reviews of all surgical or procedural visits reviewing documentation for appropriate CPT, HCPCS, and ICD code assignment, prior to charge entry.
5. Conducts periodic prospective reviews of 5%-10% physician office visits by reviewing medical records for proper CPT, HCPCS, and ICD code assignment, prior to charge entry.
6. Performs charge entry function as needed into EPIC or AS400 or any other hospital billing system for all clinical, coded and billable services.
7. Other duties as required.
Other information:
Technical Expertise
1. Experience in CPT and ICD coding is preferred.
2. Experience working with all levels within an organization is required.
3. Experience in healthcare is preferred.
4. Proficiency in MS Office [Outlook, Excel, Word] or similar software is required.
Education and Experience:
1. Education: High School Diploma or equivalent is required; Bachelor’s degree is preferred.
2. Certification: AAPC or AHIMA Coding Certification is required.
3. Years of relevant experience: 3 to 5 years is preferred.
4. Years of experience supervising: None.
