Professional Fee Coding Specialist

1 week ago


Miamisburg, Ohio, United States Kettering Health Full time
About the Role

Kettering Health is a leading healthcare organization seeking a skilled Professional Fee Coding Specialist to join our team. As a key member of our coding team, you will play a critical role in ensuring accurate and compliant coding practices across our network.

Key Responsibilities
  • Ensure coding compliance and accuracy in accordance with CMS billing rules and regulations.
  • Serve as a subject matter expert on coding practices, providing guidance and support to network service lines.
  • Develop and maintain knowledge of CPT, HCPCS, ICD-10, and CMS NCCI edits.
  • Review and research pending and denied claims to identify coding errors and discrepancies.
  • Correspond with providers to facilitate resolution of coding-related issues.
  • Participate in departmental goals and objectives, ensuring alignment with Kettering Health's mission and policies.
Requirements
  • High School Diploma or equivalent.
  • RHIT, RHIA, CCS, CCS-P, CPC, or eligible specialty certification.
  • Prior experience in professional fee coding and billing.
  • Excellent verbal and written communication skills.
Preferred Qualifications
  • Knowledge of medical terminology and anatomy and physiology.
  • Experience with EPIC applications and computer systems.

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