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Medical Coding Specialist
1 month ago
Kettering Health is a not-for-profit system of 13 medical centers and over 120 outpatient facilities serving southwest Ohio. Our mission is to deliver high-quality care for every stage of life, driven by our commitment to excellence and compassion.
Campus Overview
Kettering Health Medical Group
* We employ more than 700 providers across the Greater Dayton and Cincinnati areas, offering access to a multidisciplinary professional team for comprehensive healthcare needs.
* Our extensive range of specialties and expertise spans primary care to brain and spine surgery, with services available in over 200 locations and ten counties.
* We provide a team-based model of care where patients are at the forefront, ensuring their unique needs are met through collaborative working across specialties.
Responsibilities & Requirements
We require an experienced Medical Coding Specialist to join our team, responsible for coding and abstracting all inpatient and outpatient patient records using ICD-9-CM and CPT/HCPCS coding rules, federal guidelines, and KMCN guidelines. This role supports hospital accounts receivable goals through timely processing of records and physician record completion activities, impacting delivery of quality patient care and enhanced clinical decision-making processes.
This position requires:
* Identifying potential reimbursement issues and taking corrective action to minimize financial losses;
* Maintaining office equipment necessary for efficient processing of patient information and documents;
* Preparing and billing accounts promptly, ensuring accuracy and completeness;
* Directing patients toward appropriate payment options when needed;
* Initiating financial evaluations for uninsured or underinsured patients;
* Evaluating accounts to ensure all third-party reimbursements have been exhausted;
* Following up on accounts at proper intervals;
* Researching credit balances to assess disposition of funds and process according to departmental policy;
* Evaluating and submitting accounts for appropriate disposition or preparation for outsourcing;
* Performing other administrative responsibilities as assigned, including but not limited to sending and receiving faxes, researching, following up with and answering questions for patients and staff, file maintenance, creating reports, memos, and forms, maintaining inventory and office supplies.
Job Requirements
To be successful in this role, you must possess:
* A high school diploma or equivalent;
* Previous finance, accounting, or billing experience;
* The ability to maintain confidentiality and discretion;
* Excellent communication and interpersonal skills;
* Ability to comprehend established office routines and policies;
* Good organizational skills;
Preferred Qualifications
Prior post-high school training in finance, billing, or accounting is preferred, as well as previous experience in a medical environment. Knowledge of medical terminology, CPT, and ICD-9 coding is also highly desirable.
