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Healthcare Coding Specialist

2 months ago


High Point North Carolina, United States Cone Health Full time

Overview:
Responsible for providing coding and billing assistance. Engages in educating healthcare providers, management, support personnel, and administrative staff. Identifies potential revenue enhancement opportunities. Codes services rendered in office, hospital, nursing home, surgical settings, and/or procedures as required for designated practices.

Talent Pool:
Corporate Services/Professional

Key Responsibilities:
Support Accounts Receivable staff with coding inquiries.

Facilitate the creation and delivery of individual and group training sessions.

Review office charges for designated practices to assess a provider's comprehension of AMA/CMS documentation standards. Document outcomes from the review and submit a written report to the Coding Support Manager. Code charges for specific practices.

Maintain an up-to-date understanding of ICD-9/ICD-10, CPT, and HCPCS guidelines and policies. Stay informed on AMA and CMS documentation standards by attending educational sessions and reviewing relevant publications.

Alert the Compliance department of any compliance infractions identified during the review process.

Qualifications:

EDUCATION:
High School Diploma or equivalent, Required

EXPERIENCE:
1-2 years, Required

1 to 2 years of coding experience is necessary.

Additional testing required:
Coding Assessment

LICENSURE/CERTIFICATION/REGISTRY/LISTING:

REQUIRED

PREFERRED
One of the following certifications is required: CPC, CCS-P, RHIT, or RHIA. CPC-A will also be accepted; full licensure must be achieved within two years of the hiring date.