Coding Specialist I

4 weeks ago

Little Rock, United States MedEvolve Full time

Job DetailsJob LocationRemote- US - Little Rock, ARRemote TypeFully RemotePosition TypeFull TimeDescriptionPurpose Summary: The Revenue Cycle Management (RCM) Medical Coder I protects the financial value of RCM clients work by providing expert review and coding of clinical documentation. As an integral part of our RCM team, the position serves in a cross-functional, fast-paced environment in order to meet performance and quality assurance benchmarks. Essential duties include accurately assigning and sequencing procedure and diagnosis codes for insurance reimbursement as well as data entry of transactions along with communication with team regarding outstanding issues.Responsibilities:Analyzes and interprets documentation from medical records to ascertain complete and accurate diagnosis and procedure coding in an office setting.Abstracts and validates required data elements into the coding and billing systems.Communicates with providers via Task for missing documentation or questions regarding documentation and offers guidance and education when needed.Use coded data, and/or medical records to enter charges into MedEvolve PM or other software applications used by RCM client.Determines principle diagnosis(es) and procedure(s) utilizing updated Medicare coding guidelines and other references.Enters patient demographics including insurance information into the billing system, if applicableVerify insurance coverage in MedEvolve PM or other software applications used by RCM client.Enters diagnosis and procedure codes into MedEvolve PM or other software applications used by RCM clients to generate a bill, as appropriate.Identifies and codes all applicable invasive procedures utilizing the encoder and abstracting system.Utilizes the chart management system as required by task and responsibility.Post private payments associated with superbills into MedEvolve application and/or other software applications used by RCM client.Understands RCM lifecycle, including the process of each claim and how this position directly impacts the process and other steps within the processDemonstrate understanding of billing procedures through verifying accuracy of all patient encounter forms submitted for processing or billing, including modifiers, bundled codes, (global, CCI edits, etc..)Keep current on informational changes in Coding and Billing proceduresMeet benchmarks for data entry accuracy.Communicate/answer questions regarding codingOther duties as assignedKey Measures:Transform physicians documentation into CPT and ICD codes accuratelyVerify patient insurance eligibilityReduction of A/RTimely interactions with internal team to support coding denials and outstanding claimsQualificationsQualifications:Certified coder: CPC coding credentialsMinimum 0-3 years of relevant experiencePossess a sound knowledge of medical coding rules, regulations, and compliance utilizing ICD 10, CPT and HCPC.Excellent communication skills: communicate effectively with management, clinical and business staff, and physiciansAbility to deal with a number of tasks simultaneouslyStrong attention to detailIntermediate computer skillsUnderstands the importance of maintaining confidentiality; able to maintain confidentiality under HIPAA standardsMust have the ability to exercise a high degree of diplomacy and tact; excellent customer services skillsMust be highly flexible; able to accommodate changing needs of the departmentMust be a self-starter, motivated and have the ability to multi-taskTraining and/or experience with computer data entryKnowledge of medical terminology required within the specialties assignedAbility to understand and follow instructionsPhysical Elements and Work Environment:The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Regularly required to sit, talk, and hearOccasionally required to stand and walkThe noise level is usually moderate#J-18808-Ljbffr

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