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REMOTELY Certified Coding Specialist Physician Coding

2 months ago

Sidney, Ohio, United States Wilson Health Full time
Job Title: REMOTELY Certified Coding Specialist Physician Coding

Job Summary:
Wilson Health is seeking a Certified Coding Specialist to join our team in a REMOTE position. As a Certified Coding Specialist, you will be responsible for reviewing clinical documentation and diagnostic results to extract data accurately and code and bill for physician services.

Key Responsibilities:
  • Perform initial daily charge review to determine appropriate codes were dropped by the provider to bill services.
  • Interpret progress notes, operative reports, and discharge summaries to determine services provided and accurately assign modifiers, CPT, ICD-10-CM, and HCPCS codes to these services.
  • Perform accurate charge entries into the Billing System to complete the charge process.
  • Contact providers through management regarding procedures and other services billed to ensure proper coding.
  • Responsible for reviewing patient logs and other reports of clinical activity to ensure revenue is captured for all patients.
  • Responsible for ensuring accounts are processed according to approved daily standards.
  • Review documentation to ensure compliance with third-party and regulatory guidelines.
  • Work in conjunction with the Reimbursement staff to answer inquiries regarding coding and billing for WHMG providers.
  • Work in coordination with other members of the Billing Office as necessary.
  • Coding must be performed consistently and within the time period established by management.
  • Perform duties and job functions in accordance with the policies and procedures established for the department.
  • Assist in implementing solutions to reduce billing and coding errors.
  • Participate in administrative staff meetings and attend other meetings and seminars.
  • Assist in evaluating reports, decisions, and results of the department in relation to established goals.
  • Recommend new approaches, policies, and procedures to influence continuous improvements in the department's efficiency and services performed.
  • Take ownership of special projects, research data, and follow through with detailed action plans.
  • Actively participate in problem identification and resolution and coordinate resolutions between appropriate parties.

Qualifications:
  • Physician Medical Coding Certification required; CPC by AAPC or AHIMA licenses, or currently attending classes for Coding Certification to follow by successfully obtaining a license.
  • Medical Office Practice Management and Electronic Health Record software. Standard office equipment including computers, fax machines, copiers, printers, telephones, etc.
  • Knowledge of clinic policies and procedures, medical terminology, and insurance practices, CPT, and ICD-10 coding and managed care, Medicare, and Medicaid guidelines.
  • Extensive Reimbursement knowledge.
  • Ability to review, interpret, and implement managed care contracts with third-party payers, including governmental payers.
  • High School diploma or equivalent required; previous medical coding experience required; understanding of medical terminology is a plus.

Mission & Vision & Values:
  • Improve the health and wellness of the community by delivering compassionate, quality care.
  • Be a trusted, nationally recognized leader of innovative, collaborative, community health.
  • A.S.P.I.R.E - Always serve with professionalism, integrity, respect, and excellence.

EOE: (Equal Opportunity Employer)