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Medical 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 - Medical Professional to join our team. As a key member of our coding team, you will be responsible for ensuring the accurate and complete coding of medical-professional services, in accordance with regulatory and payer requirements.

Key Responsibilities

  • Abstract and ensure accuracy of diagnosis, procedure, patient demographics, and other required data elements.
  • 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.
  • Aid in the creation of training and educational coding guidance documents for physicians and MEDSTAR HEALTH associates.
  • Contact physician when conflicting or ambiguous information appears in the medical record; request diagnosis from physicians when not recorded in medical records.
  • Determine the sequence of diagnoses for accurate claims submission.
  • Employ knowledge of coding compliance, direct efforts to achieve quality standards identified through coding reviews or targeted by management for improvement.
  • Guide and provide mentoring related to coding projects done by Coding Specialist I and Coding Edit Specialist, including review and correction of code selection based upon medical documentation.

Qualifications

  • High School Diploma or GED Required; Bachelor's degree preferred.
  • CPC (Certified Professional Coder) certification required.
  • 3-4 years Medical-professional coding experience with demonstrated ability to work independently required.
  • 1-2 years Leading others or leading a work stream required.
  • Experience with computer systems for encoding and abstracting required.
  • Attention to detail accompanied by outstanding organizational skills.
  • Ability to interact effectively with physicians, liaisons, department administrators, and associates.
  • Ability to communicate and deal with physicians in a professional, articulate manner and understand medical terminology specific to body systems.
  • In-depth knowledge of billing process, including, but not limited to, claims submission, whether manual or electronic, different payer requirements re: modifiers and correct diagnosis/procedure linkage.
  • 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.
  • Working knowledge of payer policies, HCFA policies, local and national regulatory and compliance policy, knowledge of all available coding resources.

Compensation

This position has a hiring range of $28.20 - $44.83.