Medical Coding Specialist

2 weeks ago


Kansas City, United States NSN Revenue Resources Full time

Job Type

Full-time

Description

Position Overview: Reporting to the Coding Manager, the Coding Specialist is responsible for assigning medical codes to facility charges for multispecialty outpatient surgical facilities resulting in claims reimbursement.

Responsibilities:

  • Review and analyze medical records to identify diagnoses, procedures, and services provided
  • Assign appropriate ICD-10 codes to reflect the diagnoses and procedures documented in the medical records.
  • Ensure coding accuracy and compliance with coding guidelines, regulations, and payer requirements.
  • Manage daily coding email queues providing responses within 3 business days.
  • Problem-solve claim edits and support the denial process as requested.
  • Uphold productivity standards / goals set by coding leaders
  • Maintain coding quality accuracy rate of 95.5%
  • Identify documentation issues (lacking documentation) that impact coding accuracy.
  • Clearly communicate (verbally and in written reports or summaries) opportunities for documentation improvement related to coding issues.
  • Must possess knowledge of third-party reimbursement regulations and billing practices
  • Ability to examine documents for accuracy and completeness
  • Ability to understand and follow compliance issues of moderate complexity by utilizing appropriate coding/compliance resources
  • Must possess moderate knowledge of CCI edits and LCDs and be able to accurately apply regulation knowledge to coding situations
  • Additional duties as assigned.
Requirements
  • RHIA, RHIT, CPC, COC, or CCS certification required.
  • Associates degree in relevant field preferred or combination of equivalent of education and experience
  • Must have knowledge of AMA, CMS, and CPT coding guidelines.
  • Knowledge of ICD-10-CM, medical terminology, anatomy & physiology.
  • 2+ years of ASC revenue cycle or coding experience.
  • Proficient in Microsoft Word, Excel
  • Ability to maintain required productivity and accuracy standards.
  • Excellent verbal and written communication skills.
  • Ability to prioritize workload, handle competing priorities, while meeting or exceeding deadlines.


Salary Description

20.00-29.00

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