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Coding Analyst II
2 months ago
Full-time, 40 Hours/Week
Shift:
Day Shift
Location:
Remote (Candidates must reside in OH or PA)
Overview:
The Coding Specialist II plays a pivotal role in providing guidance, training, and support to Coding Specialist I team members.
Key Responsibilities:
- Facilitates training, mentoring, and leadership for Coding Specialist I personnel.
- Conducts daily reconciliation of all clinical services rendered. Executes coding tasks through thorough examination and analysis of electronic, paper, or hybrid patient medical records, assigning CPT, HCPCS, and ICD codes accurately before charge entry.
- Reviews EPIC charge review work queues on a daily basis to identify coding and billing discrepancies, implementing necessary coding adjustments based on medical documentation for both professional and technical charge revenue prior to charge entry.
- Performs prospective evaluations of all surgical or procedural visits, ensuring accurate documentation for CPT, HCPCS, and ICD code assignment before charge entry.
- Conducts periodic prospective assessments of 5%-10% of physician office visits by reviewing medical records for correct CPT, HCPCS, and ICD code assignment prior to charge entry.
- Handles charge entry tasks as needed into EPIC, AS400, or any other hospital billing system for all clinical, coded, and billable services.
- Undertakes additional responsibilities as required.
Technical Skills:
- Preferred experience in CPT and ICD coding.
- Required experience collaborating with various organizational levels.
- Preferred background in healthcare settings.
- Proficiency in MS Office Suite, including Outlook, Excel, and Word, is mandatory.
Educational Background:
A High School Diploma or equivalent is mandatory; a Bachelor's degree is preferred.
Certification:
AAPC or AHIMA Coding Certification is essential.
Relevant Experience:
3 to 5 years of related experience is preferred.
Supervisory Experience:
None required.