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Certified Medical Coding Specialist
2 months ago
Company Overview:
A reputable and expanding Medical Billing & Coding firm is seeking a skilled Certified Professional Coder.
The ideal candidate will possess extensive experience in coding healthcare claims accurately to secure reimbursements from insurance providers and government health programs. This role also encompasses responsibilities as a medical auditor, which includes planning and executing financial chart audits, presenting findings to upper management, and offering coding, documentation, and compliance support to the Account Management team. A commitment to delivering exceptional customer service is essential.
Key Responsibilities:- Utilize specialized medical classification software to assign procedure and diagnosis codes for billing purposes.
- Review claims data to ensure compliance with legal and insurance requirements, ensuring all necessary signatures and authorizations are obtained prior to submission.
- Conduct internal audits of medical charts to verify that billed CPT codes are appropriate and substantiated by patient documentation, adhering to Federal and State regulations.
- Ensure that all coding practices comply with medical coding laws and regulations, focusing on reimbursable expenses.
- Safeguard the confidentiality of medical records.
- Identify and code patients using ICD-10 and CPT coding systems.
- Maintain accurate patient medical records to document conditions and treatments.
- Review records for completeness and regulatory compliance.
- Initiate follow-up processes for rejected claims.
- Engage in phone communications with insurance agencies as required.
- A minimum of 5 years of experience in a medical office reimbursement department is preferred.
- Must hold current certification and AAPC membership, maintaining certification requirements every two years.
- Strong communication skills are necessary for interactions with insurance representatives and medical billing staff.
- Advanced knowledge of ICD-10 and CPT coding, as well as anatomy and medical terminology, is required.
- Adherence to HIPAA standards is mandatory.
- Familiarity with the medical record audit process is essential.
- Ability to thrive in a fast-paced environment while maintaining professionalism.
- Excellent organizational skills and attention to detail are crucial.
- Proficiency in Microsoft Office and strong computer skills are required.
- A positive and approachable demeanor is essential.
- Ability to manage multiple priorities effectively.
- Must be capable of working independently.
- Continuous sitting throughout the work shift.
- Frequent bending, kneeling, and crouching.
- Ability to read small print.
- Repetitive hand and arm movements for typing and writing.
- Occasional lifting of objects weighing 10-20 lbs.
- Frequent use of the telephone for communication.
- Ability to view computer screens for extended periods.
- Must be able to operate standard office equipment.
