Certified Medical Coding Specialist

16 hours ago


Tuscaloosa, Alabama, United States NHS Management Full time
Purpose:

To ensure the timely and accurate completion of all business and financial functions within the parameters established by NHS Management guidelines, state and federal regulations, and as needed to achieve the financial goals of the facility.

Qualifications:
  • Associate's Degree in Medical coding or successful completion of a certification program with successful completion of the Coding Examination.
  • Strong knowledge of anatomy, physiology, and medical terminology.
  • Superior mathematical skills.
  • Experience with ICD-10 coding and CPT procedure coding.
  • Healthcare billing and collection experience a plus.
  • Strong organization skills, including the ability to prioritize and manage multiple tasks in a dynamic environment.
  • Strong analytical skills; ability to quickly identify problems and find effective solutions.
  • Strong written and oral communication skills.
  • Ability to work and produce results under pressure.
  • Ability to effectively and harmoniously interact with facility, group, and corporate management and other employees at all levels; promotes teamwork and demonstrates strong leadership skills and professionalism.
  • Knowledge of insurance agency reimbursement programs.
  • Must be capable of maintaining regular attendance.
  • Must be dependable and able to work with minimal supervision.
  • Must have knowledge of office machines and equipment.
  • Computer Skills (Microsoft Office Suite, Outlook, Excel, etc).
  • High school diploma or equivalent.
  • Must be at least 18 years of age.
  • Must be able to speak, read, write, and understand English.
Essential Job Functions:
  • Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes.
  • Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations.
  • Follow up with the provider on any documentation that is insufficient or unclear.
  • Communicate with other clinical staff regarding documentation.
  • Search for information in cases where the coding is complex or unusual.
  • Receive and review patient charts and documents for accuracy.
  • Review all of the patient notes for evaluation and coding.
  • Ensure that all codes are current and active.
  • Participates in periodic meetings and training workshops as assigned.
  • Keeps abreast of current state, federal, and company policies, procedures, and regulations.
  • Keeps abreast of changes in billing guidelines for Medicare, Medicaid, HMO's, PPO's, and reports them to the Practice.
Physical and Sensory Requirements:
  • Mobility within work environment necessary to perform job duties.
  • Ability to lift, carry, push, bend, reach, grasp, perform fine manipulations, etc., necessary to perform job duties.
  • Ability to remain calm under stress.
  • Ability to communicate with residents, families, personnel, and support agencies.
  • Ability to evaluate and interpret information.
  • Ability to make independent decisions.
  • Ability to understand and interpret financial data.
Standard Requirements:
  • Support the Mission, Values, and Vision of NHS Management and the facility.
  • Knowledgeable of resident rights when it comes to billing and ensure an atmosphere which allows for the privacy, dignity, and well-being of all residents in a safe and secure environment.
  • Relate to management immediately of all instances of improper charting/coding of Nurse Practitioners and Physician Assistants.
  • Support, cooperate with, and implement specific procedures and programs for:
  • Maintain confidentiality of all data, including resident, employee, and operations data.
  • Comply with all Quality Assurance, code of conduct, and regulatory requirements.
  • Comply with current law and policy to provide a work environment free from harassment, and all illegal and discriminatory behavior.
Support and Participate in Common Teamwork:
  • Cooperate and work together with all co-workers; plan and complete job duties with minimal supervisory direction, including appropriate judgment.
  • Use tactful, appropriate communications in sensitive and emotional situations.
  • Complete requirements for in-service training, acceptable attendance, uniform and dress codes, including personal hygiene, and other work duties as assigned.


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