Coding Reimbursement Specialist III Revenue Cycle

• Subject matter expert in at least one specialty, e.g., oncology, gynecology, surgical coding (not including primary care procedures) and infusion coding including chemotherapy and infusions involving multiple drugs
• Assigns CPT and ICD codes in cases of moderate to high complexity
• Reads, interprets and assigns CPT codes from provider documentation, e.g., infusion record or operative report
• Performs ICD and CPT coding of provider (professional) services and verifies that all requisite charge information is entered
• Appends all modifiers
• Ranks CPT codes when multiple codes apply
• Assigns Evaluation and Management (E/M) codes
• Performs reconciliation process to ensure all charges are captured
• Processes automated or manually enters charges into applicable billing system
• Researches and analyzes coding and payer specific issues
• Processes charges on a timely basis and communicates with team members and practice management on an ongoing basis
• Communicates with providers related to coding issues that are of moderate to high complexity. Including face to face interaction, explaining coding rationales, and education with providers

• High School Diploma or GED required
• Minimum of 2 years of coding experience required
• CPC or equivalent coding credential required
• Maintain coding certification (CPC, CCS, RHIT, RHIA)
• Extensive knowledge of coding, medical terminology, anatomy, and physiology
• Extensive knowledge of and the ability to apply the payer specific rules regarding coding, bundling, and adding appropriate modifiers

Cardiology Experience

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program