Clinical Coding Specialist

2 weeks ago


Chesapeake, Virginia, United States TEKsystems Full time
Job Overview

This remote Clinical Coding Specialist position at TEKsystems offers a unique opportunity to leverage your expertise in medical coding and auditing to drive revenue integrity across the organization.

The ideal candidate will possess a strong background in ICD-10-CM, CPT-4/HCPCS classification systems, and EMR systems, with 5+ years of hospital coding experience and CPC certification. As a key member of the Patient Financial Services team, you will be responsible for performing audits of itemized charges versus patient medical records and other applicable hospital documentation, assigning modifiers to appropriate claims, and researching edited claims for medical necessity.

You will work closely with revenue-producing departments to identify areas for improvement, educate staff on proper coding and charging practices, and provide CDM support. Your ability to communicate effectively with clinical and non-clinical staff, as well as patients, will be essential in this role.

We offer a competitive salary range of $40.00-$42.00 per hour, depending on experience, and a comprehensive benefits package that includes medical, dental, and vision coverage, as well as 401(k) retirement plan options.

About the Role:

  • Perform audits of itemized charges versus patient medical records and other applicable hospital documentation
  • Assign modifiers to appropriate claims
  • Research edited claims for medical necessity
  • Work closely with revenue-producing departments to identify areas for improvement and educate staff on proper coding and charging practices
  • Provide CDM support and research and maintain the Charge Description Master
  • Review documentation on all observation accounts for carve-out observation hours, extended recovery, charge coding of ED visits, and injection and infusion charges
  • Prepare written reports for finance and claims departments
  • Educate provider services, claims, recovery, finance, and other department staff on audit results and assist with educational efforts
  • Provide feedback and process improvement recommendations to hospital departments and committees based on analysis and trending of hospital or provider audits


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