Medical Coding Specialist
5 days ago
Physicians East, P.A., a multi-specialty healthcare group in Eastern North Carolina, seeks an experienced Medical Coding Specialist to lead revenue optimization efforts. This role involves conducting thorough audits of coding practices, identifying areas for improvement, and ensuring compliance with industry standards.
The ideal candidate will be proactive in uncovering missing revenue opportunities and collaborate closely with coding and clinical teams to implement best practices.
We are committed to providing a comprehensive benefits package, including competitive salary, medical, dental, and vision insurance, 401(k) matching, and a generous PTO program.
Responsibilities- Conduct detailed audits of coding practices to ensure compliance with ICD-10, CPT, and HCPCS guidelines.
- Analyze coding data to identify patterns of under coding, over coding, and missed revenue opportunities.
- Collaborate with coding and clinical teams to address identified issues and implement best practices for accurate coding.
- Develop and present educational materials and training sessions for coding staff to enhance their knowledge of revenue optimization and compliance.
- Analyze denials to identify trends for revenue optimization
- Stay current on coding regulations, payer guidelines, and industry standards to ensure the organization's adherence.
- Prepare detailed reports on audit findings, highlighting opportunities for revenue recovery and recommendations for improvement.
We seek a skilled Medical Coding Specialist with 5 years of coding experience and 2+ years of auditing experience. Ideally, the candidate should hold at least two active coding credentials: CCS, CCS-P, CPC, CPMA, CDIP, RHIT, or RHIA.
A strong understanding of customer service principles and excellent written and oral skills are essential. The ability to analyze complex data, identify trends, and develop effective solutions is crucial for this role.
This is a permanent full-time position with a flexible schedule and occasional onsite requirement. Located in North Carolina, the successful candidate must be able to commute to the office when needed.
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