Medical Coding Specialist

4 days ago


South Bend, Indiana, United States Beacon Health System Full time
Job Summary

We are seeking a highly skilled Medical Coding Specialist to join our team at Beacon Health System. As a key member of our revenue cycle team, you will be responsible for accurately coding office and hospital procedures for reimbursement, ensuring compliance with regulatory guidelines and payer requirements.

Key Responsibilities
  • Extract relevant information from patient records and examine documents for missing information
  • Liaise with physicians and other parties to clarify information
  • Analyze documentation and accurately apply CPT, ICD, and HCPCS codes to support compliant coding
  • Work with rejected and denied claims based on assigned reports, and assist in complex denial resolution
  • Communicate updates on coding-related changes and billing opportunities and guidelines to supervisor and/or providers
  • Assist providers with required documentation, compliant coding, and reimbursement
  • Monitor provider documentation for trends and adherence to documentation standards and regulatory requirements through report and billing analysis
  • Audit reports as necessary to identify and correct coding-related errors
Requirements
  • High School diploma or equivalent required; graduate of an accredited medical coding program preferred
  • Two years of physician coding experience in an applicable specialty preferred
  • Designation as a Certified Coding Specialist-Physician Based, Certified Professional Coder, Certified Medical Coder, or Certified Coding Associate required
  • Ability to complete a minimum of 12 hours of coding-related education per year to field of concentration
Preferred Qualifications
  • Accuracy and proficiency with CPT, ICD, and HCPCS code assignment
  • Demonstrated knowledge of regulatory and payer-specific coding guidelines
  • Demonstrated proficiency in knowledge of anatomy, physiology, and medical terminology
  • Exceptional organizational skills and attention to detail
  • Proficient computer skills in data entry, coding, and knowledge of Electronic Medical Record software; Microsoft Office Suite
Working Conditions

This position works in an office environment and may experience some mental/visual fatigue from careful and constant review of records, code books, and continued use of computer equipment.



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