Coding Specialist III
4 weeks ago
MedStar Health is seeking a highly skilled Coding Specialist III to join our remote team. As a key member of our coding team, you will be responsible for ensuring accurate and complete coding of medical services, adhering to regulatory and payer requirements.
Key Responsibilities:- Abstract and ensure accuracy of diagnosis, procedure, patient demographics, and other required data elements.
- Aid in the creation of training and educational coding guidance documents for physicians and associates.
- Assist in developing guidance to clinicians in optimizing dictations to promote compliance and claim processing.
- Contacts physicians when conflicting or ambiguous information appears in the medical record.
- Determines the sequence of diagnoses for accurate claims submission.
- Employs knowledge of coding compliance and directs efforts to achieve quality standards identified through coding reviews or targeted by management for improvement.
- Guides and provides mentoring related to coding projects done by Coding Specialist I and Coding Specialist II.
- Handles complex coding case review, including surgical coding scenarios.
- Identifies and reports issues and trends in physician documentation and/or work routed to Coding from other departments.
- Recommends policy and procedural changes and improvements for revenue enhancement.
- Surveys Medical Professional Societies coding guidelines to ensure the usage of current coding combinations and rationale.
- High School Diploma or GED required; Bachelor's degree preferred.
- CPC (Certified Professional Coder) certification required.
- 5-7 years Medical-professional coding experience with demonstrated ability to work independently required.
- 2 years' experience leading others or leading a work stream required.
- Experience with computer systems for encoding and abstracting required.
- Ability to interact effectively with physicians, liaisons, department administrators, and associates.
- Ability to work independently and practice self-direction.
- Working knowledge of payer policies, CMS policies, local and national regulatory and compliance policies.
This is a remote position with a hiring range of $28.20 - $44.83.
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