Medical Coding Specialist

2 weeks ago


Toledo, Ohio, United States ProMedica Full time
Job Summary

We are seeking a highly skilled Coding Specialist to join our team at ProMedica. The successful candidate will be responsible for ensuring medical service documentation and coding conforms to guidelines and regulations.

Key Responsibilities
  • Develop and coordinate educational plans to enhance accurate coding and billing procedures.
  • Provide regular educational seminars on coding and billing best practices.
  • Design tools to enhance the level of knowledge of current CPT and ICD-10-CM codes among healthcare professionals.
  • Research and communicate government and private insurance carriers' coding and billing policies and guidelines.
  • Perform audits to determine coding, billing, and documentation accuracy.
  • Review code change requests to ensure accurate coding and/or advise coding or billing changes.
  • Facilitate team effort in delivering quality care and customer satisfaction.
Requirements
  • Bachelor's degree in a related field.
  • Extensive knowledge of CPT, HCPCS, and ICD-10-CM coding.
  • Advanced knowledge of anatomy and physiology and medical terminology.
  • In-depth knowledge of reimbursement systems and prospective payment methodologies.
  • Minimum of 2 years coding experience with physician coding.
  • Current certification in CPC, RHIT, or RHIA.
Additional Requirements
  • Broad knowledge of CPT, HCPCS, and ICD-10-CM coding.
  • Strong commitment to customer service and effective interpersonal skills.
  • Ability to manage large volumes of work and quickly learn and retain information.
  • Strong organizational, quantitative, and analytical skills.
Pay Scale

$41,496-$84,240



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