Clinical Coding Specialist

2 weeks ago

Baltimore, Maryland, United States Morehouse School of Medicine Full time


Morehouse School of Medicine (MSM) stands as a distinguished institution, recognized as the premier academic medical center dedicated to serving vulnerable populations.

We are a community of passionate professionals committed to shaping the future leaders in healthcare.


Our mission is to:
Enhance the health and wellness of individuals and communities;
Foster diversity within the health professional and scientific workforce;
Address primary healthcare needs through education, research, and service initiatives;

With a focus on people of color and underserved urban and rural populations across Georgia, the nation, and globally.

At Morehouse School of Medicine, we are at the forefront of promoting health equity. A rewarding career awaits you at MSM.

Position Overview:
As a Coding Specialist, you will work independently under minimal supervision to meticulously review clinical documentation and diagnostic results. Your role will be crucial in validating and ensuring accurate procedural and diagnostic coding of professional services provided by clinicians, in compliance with established documentation and coding guidelines for all patient care services.


Your responsibilities will include:

  • Ensuring that provider and/or diagnostic services documented in medical records are accurately coded.
  • Verifying that coded services are supported by appropriate documentation, including medical necessity.

Department:
Revenue Cycle Management

Key Responsibilities:
  • Adhere to Revenue Cycle policies and procedures.
  • Manage assigned task lists, work queues, and reports efficiently.
  • Maintain up-to-date knowledge of third-party payer reimbursements and managed care contracts.
  • Familiarize yourself with physician billing, accounts receivable, and electronic health record (EHR) systems.
  • Utilize and analyze all components of Explanation of Benefits (EOB) and Explanation of Payments (EOP).
  • Accurately track and document daily activities and production metrics.
  • Complete and document all activities or communications on accounts accurately.
  • Consistently meet departmental production standards as set by management.
  • Participate in special projects as assigned by management.

Work Arrangement:
Hybrid/Remote Work (Eligible with Approval)

Minimum Qualifications:
Education:
A High School Diploma or General Education Degree (GED) is required.

Experience:
Completion of a formal coding program is preferred, with credentials from AHIMA, CCA, CCS, or AAPC being advantageous. A minimum of two (2) years of practical coding experience or five (5) years in a physician billing Revenue Cycle or Central Business Office, demonstrating proficiency in ICD-9-CM/ICD-10 and CPT-4 coding systems is required. Experience in Surgery Coding is essential.

Licensure/Certification:
Certification as a Professional Coder (CPC) or Certified Coding Specialist (CCS) is required by law.

Morehouse School of Medicine is an equal opportunity employer, committed to achieving a diverse workforce and adhering to all Federal and Georgia State laws regarding non-discrimination and affirmative action.

We do not discriminate based on race, age, color, religion, national origin, sex, gender, disability, veteran status, genetic information, sexual orientation, or gender identity or expression.

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