Coding Specialist III

3 weeks ago


Charlotte, North Carolina, United States Atrium Health Full time
Job Summary

At Atrium Health, we are seeking a skilled Coding Specialist III to join our team. As a key member of our coding team, you will be responsible for performing duties of moderate to high complexity, analyzing denial data, and reporting trends to offer solutions.

Key Responsibilities
  • Subject matter expert in at least one specialty, e.g., oncology, gynecology, surgical coding (not including primary care procedures) and infusion coding including chemotherapy and infusions involving multiple drugs.
  • Assigns CPT and ICD codes in cases of moderate to high complexity.
  • Reads, interprets and assigns CPT codes from provider documentation, e.g., infusion record or operative report.
  • Performs ICD and CPT coding of provider (professional) services and verifies that all requisite charge information is entered.
  • Appends all modifiers.
  • Ranks CPT codes when multiple codes apply.
  • Assigns Evaluation and Management (E/M) codes.
  • Performs reconciliation process to ensure all charges are captured.
  • Processes automated or manually enters charges into applicable billing system.
  • Researches and analyzes coding and payer specific issues.
  • Processes charges on a timely basis and communicates with team members and practice management on an ongoing basis.
  • Communicates with providers related to coding issues that are of moderate to high complexity. Including face to face interaction, explaining coding rationales, and education with providers.

Requirements
  • High School Diploma or GED required.
  • Minimum of 2 years of coding experience required.
  • CPC or equivalent coding credential required.
  • Maintain coding certification (CPC, CCS, RHIT, RHIA).
  • Extensive knowledge of coding, medical terminology, anatomy, and physiology.
  • Extensive knowledge of and the ability to apply the payer specific rules regarding coding, bundling, and adding appropriate modifiers.

Work Environment

Works in a fast-paced office/hospital environment. Work consistently requires sitting and some walking, standing, stretching, and bending
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