Medical Coding Specialist

1 month ago


Dallas, Texas, United States United Surgical Partners Full time
Job Title: Medical Coding Specialist

At United Surgical Partners, we are seeking a highly skilled Medical Coding Specialist to join our team. As a key member of our revenue cycle team, you will play a critical role in ensuring accurate and timely reimbursement for our patients.

Responsibilities:
  • Manage daily coding email queues, providing responses within 3 business days.
  • Investigate and resolve coding-related denials from payers, resulting in claim reimbursement.
  • Identify documentation and coding guidelines or regulations to defend the claim as billed or support the payer's denial for corrections needed.
  • Formulate reportable data into trends that can be utilized to develop process improvements.
  • Analyze all aspects of patient's medical records to locate documentation to support medical necessity.
Requirements:
  • RHIA, RHIT, CPC, or CCS certification required.
  • 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.
  • High School diploma or equivalent.
  • 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.


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