Medical Coding Specialist II
2 weeks ago
Full-time, 40 Hours/Week
Shift:
Day Shift
Location:
Remote (Candidates must reside in OH or PA)
Overview:
The Coding Specialist II plays a pivotal role in guiding and developing Coding Specialist I team members.
Key Responsibilities:
- Facilitates training, mentorship, and leadership for Coding Specialist I personnel.
- Conducts daily reconciliation of all clinical services rendered. Executes coding tasks through thorough examination and evaluation of electronic, paper, or hybrid patient medical records, assigning CPT, HCPCS, and ICD codes accurately before charge entry.
- Reviews daily EPIC charge review work queues for coding and billing discrepancies, implementing necessary coding adjustments based on medical documentation for both professional and technical charge revenue prior to charge entry.
- Performs prospective reviews of all surgical or procedural visits, ensuring correct CPT, HCPCS, and ICD code assignments before charge entry.
- Conducts periodic prospective evaluations of 5%-10% of physician office visits, scrutinizing medical records for accurate CPT, HCPCS, and ICD code assignments prior to charge entry.
- Handles charge entry functions as required into EPIC, AS400, or any other hospital billing systems for all clinical, coded, and billable services.
- Undertakes additional responsibilities as necessary.
Technical Skills:
- Preferred experience in CPT and ICD coding.
- Required experience collaborating with various organizational levels.
- Preferred background in healthcare settings.
- Proficiency in MS Office Suite, including Outlook, Excel, and Word, is essential.
Education:
A High School Diploma or equivalent is mandatory; a Bachelor's degree is preferred.
Certification:
AAPC or AHIMA Coding Certification is required.
Relevant Experience:
3 to 5 years of relevant experience is preferred.
Supervisory Experience:
None required.
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