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Outpatient Coding Specialist

1 month ago

Phoenix, Arizona, United States Quadris Team LLC Full time
Job Summary:

The Coding Specialist is responsible for timely, accurate and comprehensive abstraction of physician services from the medical record by utilizing knowledge of industry standard CPT and ICD-10 coding.

This individual must demonstrate a commitment to the organization's strategic plans, short and long-term goals and mission, vision and values by representing the company in a caring and professional manner, recognizing the coding role in the patient experience.

Key Responsibilities:
  • Utilizes technical coding expertise to review the medical record thoroughly, utilizing all available documentation to abstract and code facility services and diagnosis codes (outpatient, surgical procedures, and/or diagnostic services).
  • Follows Official Coding Guidelines and rules in order to assign appropriate CPT, ICD-10 codes and modifiers with a minimum of 98% accuracy
  • Provides documentation feedback to client and/or account manager
  • Maintains coding reference information
  • Reviews and communicates new or revised billing and coding guidelines and information with providers and their assigned specialty
  • Resolves pre-accounts receivable edits. Identifies and reports repetitive documentation problems as well as system issues
  • Makes appropriate changes to incorrectly billed services, adds missing unbilled services, provides missing data as appropriate, corrects CPT and ICD-10 codes and modifiers
  • May collaborate with Patient Accounting, and other operational areas to provide coding reimbursement assistance; helps identify and resolve incorrect claim issues and may assist with drafting letters in order to coordinate appeals
  • May work with Revenue Cycle staff and Account inquiry unit staff as requested, assists in obtaining documentation (notes, operative reports, etc.). Provides additional code and modifier information
  • Meets established minimum coding productivity and quality standards for each encounter type based on type of service coded.
  • May perform other duties as assigned
Requirements:
  • Maintains compliance with regulations and laws applicable to job
  • Professional level communication expectations with video, phone and email
  • Ability to effectively prioritize the work to meet deadlines and expectations
  • Meets the quality and productivity measures as outlined by Quadris
  • Brings positive energy to the work
  • Uses critical thinking skills
  • Being present at work and reducing distractions
  • Being a self-starter
Physical Requirements:

Prolonged periods of sitting at a desk and working on a computer

Must be able to lift 15 pounds at one time

Must be able to structure your home office to ensure patient information is secure meeting the regulatory expectations

Equal Employment Opportunity:

Quadris is an Equal Employment Opportunity employer.

Any offer of employment is contingent upon a criminal background check, previous employment verification and references, following all federal and state regulations.

Quadris Team is a participant of eVerify.