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Coding Specialist II

2 months ago

Columbia, Maryland, United States MEDSTAR HEALTH Full time

Job Summary

MEDSTAR HEALTH is seeking a highly skilled Coding Specialist II to join our team. As a key member of our medical coding team, you will be responsible for ensuring the accuracy and completeness of medical coding for our patients. This is a remote position that requires strong analytical and problem-solving skills, as well as excellent communication and interpersonal skills.

Key Responsibilities

  • Abstract and Ensure Accuracy: Abstract and ensure the accuracy of diagnosis, procedure, patient demographics, and other required data elements.
  • Coding Software Expertise: Access and understand coding software used by hospital coders, as a verification/cross check tool to ensure that technical component coding done by hospital coders and professional component coding is synchronized correctly on accounts involving both billing components.
  • Training and Education: Aid in the creation of training and educational coding guidance documents for physicians and MEDSTAR HEALTH associates.
  • Communication and Collaboration: Contact physicians when conflicting or ambiguous information appears in the medical record; request diagnosis from physicians when not recorded in medical records.
  • Sequence of Diagnoses: Determine the sequence of diagnoses for accurate claims submission.
  • Coding Compliance: Employ knowledge of coding compliance, direct efforts to achieve quality standards identified through coding reviews or targeted by management for improvement.
  • Mentoring and Guidance: Guide and provide mentoring related to coding projects done by Coding Specialist I and Coding Edit Specialist to include review and correction of code selection based upon medical documentation.

Qualifications

  • Education: High School Diploma or GED Required; Bachelor's degree preferred.
  • Certification: CPC (Certified Professional Coder) certification required.
  • Experience: 3-4 years Medical-professional coding experience with demonstrated ability to work independently required.
  • Leadership: 1-2 years Leading others or leading a work stream required.
  • Computer Skills: Experience with computer systems for encoding and abstracting required.
  • Attention to Detail: Attention to detail accompanied by outstanding organizational skills.
  • Communication Skills: Ability to interact effectively with physicians, liaisons, department administrators, and associates.
  • Medical Knowledge: Broad, deep medical knowledge, including but not limited to: extensive knowledge of medical terminology, knowledge of human anatomical systems/body systems, and knowledge of medical procedures performed by physicians, nurses, and allied health workers.
  • Payer Policies: Working knowledge of payer policies, HCFA policies, local and national regulatory and compliance policy, knowledge of all available coding resources.