Coder - Certified Specialist

4 days ago


South Bend, Indiana, United States Beacon Health System Full time
Job Summary

We are seeking a highly skilled Coding and Compliance Specialist to join our team at Beacon Health System. As a key member of our revenue cycle team, you will be responsible for accurately coding office and hospital procedures for reimbursement, ensuring compliance with regulatory guidelines and payer requirements.

Key Responsibilities
  • Extract relevant information from patient records and documents
  • Liaise with physicians and other parties to clarify information
  • Analyze documentation and apply CPT, ICD, and HCPCS codes to support compliant coding
  • Work with rejected and denied claims, and assist in complex denial resolution
  • Communicate updates on coding-related changes and billing opportunities to supervisors and providers
  • Assist providers with required documentation, compliant coding, and reimbursement
  • Monitor provider documentation for trends and adherence to documentation standards and regulatory requirements
Requirements
  • High School diploma or equivalent required; graduate of an accredited medical coding program preferred
  • Two years of physician coding experience in an applicable specialty preferred
  • Designation as a Certified Coding Specialist-Physician Based, Certified Professional Coder, Certified Medical Coder, or Certified Coding Associate required
  • Ability to complete a minimum of 12 hours of coding-related education per year
Working Conditions

This role requires the physical ability and stamina to perform the essential functions of the position, including working in an office environment and using computer equipment.



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